Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.89 / $654.30 / $1,279.20	Facility		$373.89	$654.30	$1,279.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.11 / $1,279.20 / $1,326.00	Professional		$385.11	$1,279.20	$1,326.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.75 / $1,326.00 / $1,326.00	Facility		$371.75	$1,326.00	$1,326.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.00 / $1,326.00 / $1,326.00	Professional		$1,326.00	$1,326.00	$1,326.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $460.59 / $1,850.90 / $1,850.90	Facility		$460.59	$1,850.90	$1,850.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,592.50 / $3,276.00 / $6,162.00	Professional		$1,592.50	$3,276.00	$6,162.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.05 / $370.18 / $1,343.16	Facility		$157.05	$370.18	$1,343.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $314.31 / $424.32	Professional		$160.47	$314.31	$424.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $477.20 / $782.70	Professional		$27.40	$477.20	$782.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.50 / $370.18 / $1,372.80	Facility		$158.50	$370.18	$1,372.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.54 / $1,326.00 / $1,326.00	Professional		$436.54	$1,326.00	$1,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,378.00 / $1,447.17	Professional		$1,300.00	$1,378.00	$1,447.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $349.23 / $349.23 / $488.92	Professional		$349.23	$349.23	$488.92