Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.87 / $2,128.00 / $6,762.00	Facility		$455.87	$2,128.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.61 / $421.58 / $576.60	Professional		$339.61	$421.58	$576.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $306.89 / $306.89 / $306.89	Facility		$306.89	$306.89	$306.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,619.61 / $3,619.61 / $3,619.61	Facility		$3,619.61	$3,619.61	$3,619.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.87 / $514.02 / $849.33	Professional		$377.87	$514.02	$849.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,789.50 / $12,000.00 / $12,000.00	Facility		$2,789.50	$12,000.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,549.28 / $3,771.21 / $6,020.49	Professional		$2,549.28	$3,771.21	$6,020.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $370.53 / $512.96 / $1,002.66	Facility		$370.53	$512.96	$1,002.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $441.53 / $560.41 / $758.65	Professional		$441.53	$560.41	$758.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,159.70 / $1,159.70 / $1,159.70	Professional		$1,159.70	$1,159.70	$1,159.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.53 / $525.62 / $1,116.01	Facility		$371.53	$525.62	$1,116.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.67 / $546.70 / $912.58	Professional		$382.67	$546.70	$912.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.64 / $485.30 / $760.77	Professional		$346.64	$485.30	$760.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $359.71 / $410.06 / $569.50	Professional		$359.71	$410.06	$569.50