Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $812.83	Professional		$407.38	$478.63	$812.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $446.68 / $446.68	Facility		$79.43	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $977.24	Professional		$446.68	$616.60	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $45,708.82 / $45,708.82	Facility		$5,623.41	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,168.69 / $4,168.69	Professional		$3,467.37	$4,168.69	$4,168.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $660.69 / $3,890.45	Facility		$457.09	$660.69	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $831.76	Professional		$416.87	$602.56	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $891.25	Professional		$575.44	$575.44	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $575.44 / $954.99	Facility		$436.52	$575.44	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $977.24	Professional		$436.52	$616.60	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,511.89 / $4,786.30	Facility		$724.44	$2,511.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $741.31	Professional		$363.08	$489.78	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $478.63	Professional		$446.68	$478.63	$478.63