Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,230.27 / $3,890.45	Facility		$512.86	$1,230.27	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $933.25	Professional		$512.86	$645.65	$933.25
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 $549.54 / $831.76 / $3,801.89	Facility		$549.54	$831.76	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,230.27	Professional		$1,023.29	$1,023.29	$1,230.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $6,309.57 / $6,309.57	Professional		$4,168.69	$6,309.57	$6,309.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $851.14 / $1,584.89	Facility		$588.84	$851.14	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,023.29	Professional		$512.86	$676.08	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $912.01 / $1,819.70	Professional		$851.14	$912.01	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $851.14 / $2,344.23	Facility		$588.84	$851.14	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $891.25 / $1,479.11	Professional		$79.43	$891.25	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $354.81 / $851.14	Facility		$302.00	$354.81	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $575.44	Professional		$354.81	$354.81	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $851.14 / $851.14	Professional		$331.13	$851.14	$851.14