Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $851.14 / $2,630.27	Facility		$354.81	$851.14	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $645.65	Professional		$346.74	$446.68	$645.65
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 $380.19 / $575.44 / $2,630.27	Facility		$380.19	$575.44	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $851.14	Professional		$707.95	$707.95	$851.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,365.16 / $4,365.16	Professional		$2,884.03	$4,365.16	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $588.84 / $1,096.48	Facility		$407.38	$588.84	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $707.95	Professional		$346.74	$467.74	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $1,258.93	Professional		$588.84	$630.96	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $588.84 / $1,621.81	Facility		$407.38	$588.84	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $616.60 / $1,023.29	Professional		$79.43	$616.60	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $245.47 / $588.84	Facility		$208.93	$245.47	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $398.11	Professional		$245.47	$245.47	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $588.84 / $588.84	Professional		$229.09	$588.84	$588.84