Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.20 / $911.04 / $2,553.19	Facility		$343.20	$911.04	$2,553.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.20 / $384.80 / $624.00	Professional		$291.20	$384.80	$624.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $520.00 / $520.00	Facility		$80.00	$520.00	$520.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.11 / $1,220.42 / $2,757.41	Facility		$335.11	$1,220.42	$2,757.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.56 / $494.16 / $818.88	Professional		$263.56	$494.16	$818.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $2,470.00 / $2,470.00	Facility		$832.00	$2,470.00	$2,470.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,600.00 / $2,600.00 / $3,900.00	Professional		$2,600.00	$2,600.00	$3,900.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $317.20 / $520.00 / $780.00	Facility		$317.20	$520.00	$780.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $520.00 / $650.00	Professional		$520.00	$520.00	$650.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.00 / $624.00 / $1,170.00	Professional		$338.00	$624.00	$1,170.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $348.22 / $520.00 / $1,571.32	Facility		$348.22	$520.00	$1,571.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $265.23 / $598.00 / $818.88	Professional		$265.23	$598.00	$818.88
United Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $218.40 / $520.00	Professional		$218.40	$218.40	$520.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $520.00	Professional		$208.00	$208.00	$520.00