Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,862.09 / $2,570.40	Facility		$891.25	$1,862.09	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,548.82 / $1,548.82	Professional		$501.19	$1,548.82	$1,548.82
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 $64.57 / $549.54 / $1,174.90	Facility		$64.57	$549.54	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $851.14	Professional		$457.09	$549.54	$851.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,548.82 / $2,570.40	Facility		$891.25	$1,548.82	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $707.95 / $1,548.82	Professional		$426.58	$707.95	$1,548.82
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 $446.68 / $1,548.82 / $3,162.28	Facility		$446.68	$1,548.82	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $549.54 / $851.14	Professional		$79.43	$549.54	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $870.96 / $1,148.15	Facility		$436.52	$870.96	$1,148.15