Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $12,022.64	Facility		$870.96	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $758.58	Professional		$389.05	$467.74	$758.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $891.25	Professional		$426.58	$562.34	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $45,708.82 / $45,708.82	Facility		$2,630.27	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,548.13 / $3,548.13	Professional		$3,388.44	$3,548.13	$3,548.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $794.33 / $4,677.35	Facility		$416.87	$794.33	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $707.95	Professional		$407.38	$524.81	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $812.83 / $1,047.13	Professional		$3.02	$812.83	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $575.44 / $977.24	Facility		$398.11	$575.44	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $870.96	Professional		$416.87	$562.34	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,073.80 / $8,709.64	Facility		$1,288.25	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $741.31	Professional		$346.74	$478.63	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $398.11 / $398.11	Professional		$380.19	$398.11	$398.11