Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $2,166.00 / $7,513.00	Facility		$487.00	$2,166.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.63 / $291.69 / $414.21	Professional		$262.63	$291.69	$414.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $237.46 / $237.46 / $240.78	Facility		$237.46	$237.46	$240.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.87 / $908.58 / $3,125.00	Facility		$684.87	$908.58	$3,125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.02 / $350.13 / $561.77	Professional		$266.02	$350.13	$561.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,590.15	Facility		$55.00	$55.00	$3,590.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,973.12 / $2,024.32 / $2,248.35	Professional		$1,973.12	$2,024.32	$2,248.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.58 / $302.43 / $617.34	Facility		$257.58	$302.43	$617.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.43 / $402.36 / $489.14	Professional		$302.43	$402.36	$489.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $243.04 / $314.95 / $525.96	Professional		$243.04	$314.95	$525.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.89 / $311.89 / $692.49	Facility		$257.89	$311.89	$692.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $280.47 / $379.31 / $683.94	Professional		$280.47	$379.31	$683.94
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,045.00 / $4,480.00	Facility		$597.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.53 / $315.60 / $492.01	Professional		$229.53	$315.60	$492.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $224.45 / $262.70 / $355.02	Professional		$224.45	$262.70	$355.02