Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,596.00 / $10,836.00	Facility		$657.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.09 / $514.05 / $618.74	Professional		$450.09	$514.05	$618.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $420.50 / $420.50 / $420.50	Facility		$420.50	$420.50	$420.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.21 / $646.66 / $1,084.93	Professional		$474.21	$646.66	$1,084.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,688.16	Facility		$55.00	$55.00	$10,688.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,203.04 / $3,281.60 / $3,882.68	Professional		$3,203.04	$3,281.60	$3,882.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.80 / $540.28 / $1,045.18	Facility		$436.80	$540.28	$1,045.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $573.57 / $661.82 / $772.12	Professional		$573.57	$661.82	$772.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $420.95 / $502.09 / $765.99	Professional		$420.95	$502.09	$765.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.80 / $540.28 / $1,167.02	Facility		$436.80	$540.28	$1,167.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $472.79 / $660.72 / $1,164.80	Professional		$472.79	$660.72	$1,164.80
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.79 / $526.07 / $832.56	Professional		$391.79	$526.07	$832.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $376.56 / $432.22 / $589.67	Professional		$376.56	$432.22	$589.67