Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.83 / $3,445.00 / $10,893.00	Facility		$244.83	$3,445.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $244.83 / $383.23	Professional		$156.41	$244.83	$383.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $160.37 / $162.37	Facility		$80.00	$160.37	$162.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.49 / $295.49 / $295.49	Facility		$295.49	$295.49	$295.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.93 / $284.86 / $471.72	Professional		$181.93	$284.86	$471.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $888.77	Facility		$55.00	$55.00	$888.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.24 / $2,223.67 / $2,650.35	Professional		$1,262.24	$2,223.67	$2,650.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.74 / $254.27 / $419.09	Facility		$171.74	$254.27	$419.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $224.13 / $320.68 / $540.42	Professional		$224.13	$320.68	$540.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $197.70 / $197.70 / $197.70	Professional		$197.70	$197.70	$197.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.88 / $256.29 / $419.09	Facility		$171.88	$256.29	$419.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.11 / $309.05 / $531.83	Professional		$185.11	$309.05	$531.83
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.41 / $282.51 / $455.06	Professional		$203.41	$282.51	$455.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $289.89 / $409.25	Professional		$258.39	$289.89	$409.25