Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.10 / $3,570.00 / $10,893.00	Facility		$412.10	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.38 / $280.54 / $424.97	Professional		$248.38	$280.54	$424.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $241.11 / $241.11 / $252.94	Facility		$241.11	$241.11	$252.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.51 / $2,024.00 / $4,619.00	Facility		$310.51	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.76 / $362.55 / $548.90	Professional		$279.76	$362.55	$548.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,279.27	Facility		$55.00	$55.00	$1,279.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,900.64 / $1,946.16 / $2,335.05	Professional		$1,900.64	$1,946.16	$2,335.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.56 / $328.10 / $609.29	Facility		$257.56	$328.10	$609.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $303.16 / $403.34 / $474.52	Professional		$303.16	$403.34	$474.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $437.90 / $676.90	Professional		$294.39	$437.90	$676.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.57 / $330.62 / $624.85	Facility		$257.57	$330.62	$624.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $383.88 / $679.21	Professional		$283.00	$383.88	$679.21
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.08 / $294.20 / $468.60	Professional		$217.08	$294.20	$468.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $224.99 / $261.22 / $351.99	Professional		$224.99	$261.22	$351.99