Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,224.00 / $11,453.00	Facility		$727.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $194.59 / $329.83	Professional		$163.96	$194.59	$329.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $164.80 / $170.57	Facility		$80.00	$164.80	$170.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.10 / $221.10 / $221.10	Facility		$221.10	$221.10	$221.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.94 / $267.05 / $402.51	Professional		$194.94	$267.05	$402.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $483.63 / $11,500.00 / $26,542.00	Facility		$483.63	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,385.27 / $1,415.04 / $1,651.43	Professional		$1,385.27	$1,415.04	$1,651.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $184.94 / $242.06 / $389.47	Facility		$184.94	$242.06	$389.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.13 / $283.35 / $351.35	Professional		$236.13	$283.35	$351.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $197.62 / $318.75 / $697.60	Professional		$197.62	$318.75	$697.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.72 / $243.65 / $414.02	Facility		$185.72	$243.65	$414.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.94 / $274.44 / $407.13	Professional		$194.94	$274.44	$407.13
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,290.00	Facility		$161.00	$949.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $211.31 / $337.01	Professional		$155.41	$211.31	$337.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.22 / $184.26 / $253.48	Professional		$161.22	$184.26	$253.48