Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.33 / $3,596.00 / $10,836.00	Facility		$516.33	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.27 / $384.98 / $560.15	Professional		$320.27	$384.98	$560.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $299.20 / $299.20 / $299.20	Facility		$299.20	$299.20	$299.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.65 / $536.30 / $1,025.55	Professional		$348.65	$536.30	$1,025.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,017.05	Facility		$55.00	$55.00	$2,017.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,830.56 / $3,830.56 / $3,830.56	Professional		$3,830.56	$3,830.56	$3,830.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $341.66 / $599.12 / $1,114.70	Facility		$341.66	$599.12	$1,114.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $414.19 / $477.92 / $557.57	Professional		$414.19	$477.92	$557.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $739.50 / $739.50 / $739.50	Professional		$739.50	$739.50	$739.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $341.66 / $606.94 / $1,114.70	Facility		$341.66	$606.94	$1,114.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.65 / $557.59 / $991.23	Professional		$348.65	$557.59	$991.23
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 $317.07 / $509.84 / $813.95	Professional		$317.07	$509.84	$813.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $271.92 / $312.93 / $424.60	Professional		$271.92	$312.93	$424.60