Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $35.48	Professional		$21.88	$25.70	$35.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $23.44	Facility		$22.91	$22.91	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $32.36 / $549.54	Facility		$26.30	$32.36	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.88 / $54.95	Professional		$24.55	$33.88	$54.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $38.02 / $3,715.35	Facility		$24.55	$38.02	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $47.86	Professional		$22.91	$34.67	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $67.61	Professional		$50.12	$60.26	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $33.88 / $63.10	Facility		$23.44	$33.88	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.88 / $57.54	Professional		$24.55	$33.88	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $45.71	Professional		$21.88	$29.51	$45.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $27.54 / $27.54	Professional		$26.30	$27.54	$27.54