Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,162.28 / $7,943.28	Facility		$794.33	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $933.25	Professional		$457.09	$562.34	$933.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $1,096.48	Professional		$524.81	$707.95	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,630.78	Facility		$54.95	$56.23	$3,630.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $5,128.61	Professional		$4,168.69	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $891.25 / $4,365.16	Facility		$549.54	$891.25	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $954.99	Professional		$467.74	$691.83	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $977.24 / $1,513.56	Professional		$3.98	$977.24	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $707.95 / $1,230.27	Facility		$512.86	$707.95	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,122.02	Professional		$524.81	$724.44	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $977.24	Professional		$446.68	$602.56	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $562.34 / $562.34	Professional		$512.86	$562.34	$562.34