Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.24 / $2,550.00 / $7,542.00	Facility		$668.24	$2,550.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.67 / $641.32 / $1,003.84	Professional		$410.67	$641.32	$1,003.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $441.48 / $441.48	Facility		$80.00	$441.48	$441.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.83 / $724.83 / $724.83	Facility		$724.83	$724.83	$724.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.42 / $710.25 / $1,174.80	Professional		$432.42	$710.25	$1,174.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,100.20 / $11,500.00 / $16,394.00	Facility		$3,100.20	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,911.00 / $5,506.44 / $6,037.28	Professional		$4,911.00	$5,506.44	$6,037.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $373.86 / $668.24 / $1,132.08	Facility		$373.86	$668.24	$1,132.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $569.36 / $814.62 / $1,248.89	Professional		$569.36	$814.62	$1,248.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $445.10 / $445.10 / $445.10	Professional		$445.10	$445.10	$445.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $374.29 / $668.24 / $1,154.76	Facility		$374.29	$668.24	$1,154.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $443.29 / $757.58 / $1,287.88	Professional		$443.29	$757.58	$1,287.88
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $518.15 / $689.81 / $1,050.70	Professional		$518.15	$689.81	$1,050.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $592.16 / $659.86 / $942.29	Professional		$592.16	$659.86	$942.29