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 $602.56 / $707.95 / $1,148.15	Professional		$602.56	$707.95	$1,148.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $616.60 / $630.96	Facility		$79.43	$616.60	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,412.54	Professional		$645.65	$891.25	$1,412.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,888.44 / $5,888.44	Professional		$5,248.07	$5,888.44	$5,888.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $933.25 / $3,890.45	Facility		$645.65	$933.25	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,148.15	Professional		$602.56	$831.76	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $87.10 / $575.44	Professional		$32.36	$87.10	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,258.93	Professional		$812.83	$812.83	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $851.14 / $1,479.11	Facility		$645.65	$851.14	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,412.54	Professional		$616.60	$891.25	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,803.84	Facility		$2,187.76	$6,606.93	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,096.48	Professional		$524.81	$691.83	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $660.69 / $660.69	Professional		$616.60	$660.69	$660.69