Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.94 / $3,445.00 / $10,836.00	Facility		$431.94	$3,445.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.58 / $431.94 / $638.00	Professional		$323.58	$431.94	$638.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $311.92 / $311.92 / $460.05	Facility		$311.92	$311.92	$460.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.46 / $538.27 / $871.05	Professional		$379.46	$538.27	$871.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,922.99	Facility		$55.00	$55.00	$1,922.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,719.44 / $3,530.64 / $4,092.30	Professional		$2,719.44	$3,530.64	$4,092.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $345.45 / $472.62 / $786.91	Facility		$345.45	$472.62	$786.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $454.88 / $647.16 / $881.42	Professional		$454.88	$647.16	$881.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $361.15 / $541.91 / $1,108.46	Professional		$361.15	$541.91	$1,108.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $341.89 / $469.71 / $806.13	Facility		$341.89	$469.71	$806.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $396.62 / $590.05 / $932.80	Professional		$396.62	$590.05	$932.80
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,400.00	Facility		$371.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.18 / $589.60 / $842.60	Professional		$443.18	$589.60	$842.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $404.44 / $455.54 / $637.76	Professional		$404.44	$455.54	$637.76