Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.94 / $1,024.74 / $2,849.37	Facility		$350.94	$1,024.74	$2,849.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.54 / $386.03 / $497.17	Professional		$327.54	$386.03	$497.17
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 $380.19 / $1,330.67 / $2,606.00	Facility		$380.19	$1,330.67	$2,606.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.27 / $712.27 / $853.38	Professional		$712.27	$712.27	$853.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $935.84 / $2,778.28 / $2,778.28	Facility		$935.84	$2,778.28	$2,778.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,912.80 / $2,912.80 / $4,386.75	Professional		$2,912.80	$2,912.80	$4,386.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $350.94 / $584.90 / $863.12	Facility		$350.94	$584.90	$863.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $731.13	Professional		$584.90	$584.90	$731.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $731.12 / $1,316.03	Professional		$526.41	$731.12	$1,316.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $585.48 / $1,766.76	Facility		$380.19	$585.48	$1,766.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $701.88 / $1,023.58	Professional		$526.41	$701.88	$1,023.58
United Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $584.90 / $731.13	Facility		$584.90	$584.90	$731.13
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $245.66 / $374.34	Professional		$245.66	$245.66	$374.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $288.83 / $584.90	Professional		$288.83	$288.83	$584.90