Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,511.89 / $7,585.78	Facility		$691.83	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $1,047.13	Professional		$512.86	$630.96	$1,047.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $501.19	Facility		$478.63	$478.63	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,023.29	Professional		$524.81	$691.83	$1,023.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $19,498.45 / $19,498.45	Facility		$6,918.31	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,570.88 / $4,570.88	Professional		$3,981.07	$4,570.88	$4,570.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $812.83 / $4,073.80	Facility		$512.86	$812.83	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $912.01	Professional		$537.03	$676.08	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,258.93	Professional		$32.36	$33.11	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $851.14 / $1,096.48	Professional		$478.63	$851.14	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $616.60 / $1,122.02	Facility		$501.19	$616.60	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $1,023.29	Professional		$512.86	$691.83	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,981.07 / $8,709.64	Facility		$1,258.93	$3,981.07	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $812.83	Professional		$407.38	$549.54	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $501.19	Professional		$478.63	$501.19	$501.19