Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.24 / $274.52 / $279.80	Facility		$269.24	$274.52	$279.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.19 / $279.80 / $454.01	Professional		$258.19	$279.80	$454.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $602.90 / $602.90 / $602.90	Facility		$602.90	$602.90	$602.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.61 / $380.61 / $380.61	Facility		$380.61	$380.61	$380.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $277.85 / $277.85	Professional		$277.85	$277.85	$277.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,223.16 / $2,960.39 / $2,960.39	Facility		$1,223.16	$2,960.39	$2,960.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,991.55 / $2,991.55 / $4,449.83	Professional		$2,991.55	$2,991.55	$4,449.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $172.87 / $452.64 / $602.90	Facility		$172.87	$452.64	$602.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $542.61 / $602.90	Professional		$172.87	$542.61	$602.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $633.04 / $633.04 / $645.71	Professional		$633.04	$633.04	$645.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.87 / $380.61 / $602.90	Facility		$172.87	$380.61	$602.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $277.85 / $493.94	Professional		$277.85	$277.85	$493.94
United Facility/Professional Professional Modifier Low / Median / High Price $223.15 / $322.70 / $384.16	Professional		$223.15	$322.70	$384.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $321.57 / $326.91 / $602.90	Professional		$321.57	$326.91	$602.90