Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.00 / $3,224.00 / $11,453.00	Facility		$747.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.78 / $481.00 / $779.14	Professional		$398.78	$481.00	$779.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $445.71 / $450.23	Facility		$80.00	$445.71	$450.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.35 / $542.35 / $542.35	Facility		$542.35	$542.35	$542.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.35 / $616.41 / $934.37	Professional		$449.35	$616.41	$934.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,788.52 / $11,500.00 / $26,542.00	Facility		$1,788.52	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,462.88 / $3,532.00 / $4,122.00	Professional		$3,462.88	$3,532.00	$4,122.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.17 / $541.36 / $839.72	Facility		$436.17	$541.36	$839.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $589.51 / $707.42 / $877.19	Professional		$589.51	$707.42	$877.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.90 / $575.90 / $575.90	Professional		$575.90	$575.90	$575.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.91 / $545.40 / $876.20	Facility		$436.91	$545.40	$876.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.39 / $636.47 / $963.95	Professional		$461.39	$636.47	$963.95
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,193.00 / $4,509.00	Facility		$600.00	$2,193.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.68 / $487.57 / $769.36	Professional		$365.68	$487.57	$769.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $402.50 / $455.44 / $635.54	Professional		$402.50	$455.44	$635.54