Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,221.00 / $7,316.00	Facility		$521.00	$2,221.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.67 / $486.43 / $678.61	Professional		$443.67	$486.43	$678.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $402.26 / $402.26 / $402.26	Facility		$402.26	$402.26	$402.26
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 $478.44 / $624.00 / $953.78	Professional		$478.44	$624.00	$953.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $12,000.00 / $14,302.50	Facility		$11,500.00	$12,000.00	$14,302.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,352.80 / $3,428.32 / $3,815.93	Professional		$3,352.80	$3,428.32	$3,815.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $605.41 / $1,032.21	Facility		$450.00	$605.41	$1,032.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $580.72 / $683.47 / $804.08	Professional		$580.72	$683.47	$804.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.50 / $707.50 / $707.50	Professional		$707.50	$707.50	$707.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $616.15 / $1,164.44	Facility		$450.00	$616.15	$1,164.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $480.04 / $641.69 / $978.38	Professional		$480.04	$641.69	$978.38
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.62 / $534.35 / $823.80	Professional		$388.62	$534.35	$823.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $381.25 / $437.81 / $602.60	Professional		$381.25	$437.81	$602.60