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 $238.24 / $283.29 / $414.12	Professional		$238.24	$283.29	$414.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $280.05 / $280.05 / $281.62	Facility		$280.05	$280.05	$281.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,512.62 / $2,006.70 / $2,530.00	Facility		$1,512.62	$2,006.70	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.07 / $336.42 / $506.19	Professional		$240.07	$336.42	$506.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,929.30	Facility		$55.00	$55.00	$7,929.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,965.84 / $1,992.40 / $2,375.17	Professional		$1,965.84	$1,992.40	$2,375.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $214.72 / $285.60 / $499.49	Facility		$214.72	$285.60	$499.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $310.24 / $412.75 / $501.77	Professional		$310.24	$412.75	$501.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $287.50 / $719.50	Professional		$5.00	$287.50	$719.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.04 / $288.75 / $588.09	Facility		$216.04	$288.75	$588.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.80 / $352.52 / $667.89	Professional		$251.80	$352.52	$667.89
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.40 / $271.01 / $429.58	Professional		$194.40	$271.01	$429.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $230.24 / $268.20 / $363.19	Professional		$230.24	$268.20	$363.19