Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.47 / $522.05 / $6,413.40	Facility		$471.47	$522.05	$6,413.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.47 / $567.13 / $1,031.01	Professional		$471.47	$567.13	$1,031.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $619.47 / $650.27 / $660.85	Facility		$619.47	$650.27	$660.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.39 / $2,008.48 / $3,363.54	Facility		$626.39	$2,008.48	$3,363.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.72 / $778.17 / $1,637.12	Professional		$561.72	$778.17	$1,637.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,437.98 / $3,059.41 / $3,668.47	Facility		$1,437.98	$3,059.41	$3,668.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,681.14 / $4,681.14 / $5,697.75	Professional		$4,681.14	$4,681.14	$5,697.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $268.10 / $658.01 / $1,365.15	Facility		$268.10	$658.01	$1,365.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $620.05 / $1,078.64 / $1,573.09	Professional		$620.05	$1,078.64	$1,573.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.22 / $715.64 / $1,179.09	Professional		$81.22	$715.64	$1,179.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $286.39 / $735.30 / $2,299.81	Facility		$286.39	$735.30	$2,299.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $563.34 / $789.11 / $1,765.87	Professional		$563.34	$789.11	$1,765.87
United Facility/Professional Professional Modifier Low / Median / High Price $583.48 / $790.46 / $1,247.08	Professional		$583.48	$790.46	$1,247.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $557.92 / $620.05 / $888.31	Professional		$557.92	$620.05	$888.31