Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.76 / $1,482.66 / $4,122.72	Facility		$507.76	$1,482.66	$4,122.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.91 / $558.54 / $719.33	Professional		$473.91	$558.54	$719.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.08 / $1,925.28 / $3,770.10	Facility		$550.08	$1,925.28	$3,770.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.53 / $1,030.53 / $1,234.70	Professional		$1,030.53	$1,030.53	$1,234.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,354.03 / $4,019.78 / $4,019.78	Facility		$1,354.03	$4,019.78	$4,019.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,214.42 / $4,214.42 / $6,347.03	Professional		$4,214.42	$4,214.42	$6,347.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $507.76 / $846.27 / $1,248.72	Facility		$507.76	$846.27	$1,248.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $1,057.83	Professional		$846.27	$846.27	$1,057.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $761.64 / $1,057.83 / $1,904.11	Professional		$761.64	$1,057.83	$1,904.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $550.08 / $847.12 / $2,556.32	Facility		$550.08	$847.12	$2,556.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $761.64 / $1,015.52 / $1,480.97	Professional		$761.64	$1,015.52	$1,480.97
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $355.43 / $507.76	Professional		$355.43	$355.43	$507.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.51 / $338.51 / $846.27	Professional		$338.51	$338.51	$846.27