Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,621.81 / $2,570.40	Facility		$426.58	$1,621.81	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $549.54	Professional		$251.19	$426.58	$549.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $512.86 / $977.24	Facility		$229.09	$512.86	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,995.26	Professional		$776.25	$776.25	$1,995.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $426.58 / $891.25	Facility		$302.00	$426.58	$891.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $549.54	Professional		$251.19	$426.58	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $426.58 / $831.76	Facility		$302.00	$426.58	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $1,995.26	Professional		$79.43	$79.43	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $380.19 / $501.19	Facility		$194.98	$380.19	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $19.95	Professional		$15.85	$15.85	$19.95