Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,122.02 / $3,548.13	Facility		$467.74	$1,122.02	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $758.58	Professional		$467.74	$602.56	$758.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $812.83 / $3,467.37	Facility		$512.86	$812.83	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,148.15	Professional		$954.99	$954.99	$1,148.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,888.44 / $5,888.44	Professional		$3,890.45	$5,888.44	$5,888.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $794.33 / $1,479.11	Facility		$588.84	$794.33	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $933.25	Professional		$467.74	$630.96	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $1,659.59	Professional		$794.33	$851.14	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $794.33 / $2,187.76	Facility		$549.54	$794.33	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $831.76 / $1,380.38	Professional		$79.43	$831.76	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $331.13 / $794.33	Facility		$281.84	$331.13	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $537.03	Professional		$331.13	$331.13	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $794.33	Professional		$457.09	$794.33	$794.33