Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $758.58 / $2,398.83	Facility		$316.23	$758.58	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $588.84	Professional		$316.23	$398.11	$588.84
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 $346.74 / $512.86 / $2,344.23	Facility		$346.74	$512.86	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $776.25	Professional		$645.65	$645.65	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,981.07 / $3,981.07	Professional		$2,630.27	$3,981.07	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $524.81 / $977.24	Facility		$371.54	$524.81	$977.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $630.96	Professional		$316.23	$426.58	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $575.44 / $1,122.02	Professional		$524.81	$575.44	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $524.81 / $1,445.44	Facility		$371.54	$524.81	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $549.54 / $933.25	Professional		$79.43	$549.54	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $223.87 / $524.81	Facility		$190.55	$223.87	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $363.08	Professional		$223.87	$223.87	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $524.81 / $524.81	Professional		$204.17	$524.81	$524.81