Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,596.00 / $10,836.00	Facility		$657.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.89 / $431.35 / $686.34	Professional		$375.89	$431.35	$686.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $414.80 / $414.80 / $414.80	Facility		$414.80	$414.80	$414.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.53 / $616.30 / $890.82	Professional		$479.53	$616.30	$890.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,176.40	Facility		$55.00	$55.00	$2,176.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,374.85 / $3,374.85 / $4,165.43	Professional		$3,374.85	$3,374.85	$4,165.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $429.36 / $575.64 / $1,060.47	Facility		$429.36	$575.64	$1,060.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.34 / $697.31 / $820.37	Professional		$501.34	$697.31	$820.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $648.10 / $648.10 / $648.10	Professional		$648.10	$648.10	$648.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $430.14 / $576.91 / $1,066.93	Facility		$430.14	$576.91	$1,066.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $479.53 / $619.12 / $935.33	Professional		$479.53	$619.12	$935.33
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $362.52 / $492.72 / $831.93	Professional		$362.52	$492.72	$831.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $388.98 / $442.80 / $603.63	Professional		$388.98	$442.80	$603.63