Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.54 / $812.16 / $827.78	Facility		$796.54	$812.16	$827.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.54 / $827.78 / $1,343.18	Professional		$796.54	$827.78	$1,343.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,783.67 / $1,783.67 / $1,783.67	Facility		$1,783.67	$1,783.67	$1,783.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,395.53 / $1,395.53 / $1,395.53	Facility		$1,395.53	$1,395.53	$1,395.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,018.74 / $1,018.74	Professional		$1,018.74	$1,018.74	$1,018.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,370.62 / $11,238.98 / $11,238.98	Facility		$9,370.62	$11,238.98	$11,238.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,357.28 / $11,357.28 / $13,769.33	Professional		$11,357.28	$11,357.28	$13,769.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $574.47 / $1,243.04 / $1,783.67	Facility		$574.47	$1,243.04	$1,783.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $574.47 / $1,640.98 / $1,783.67	Professional		$574.47	$1,640.98	$1,783.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,051.21 / $2,092.25 / $2,920.08	Professional		$2,051.21	$2,092.25	$2,920.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $574.47 / $1,243.04 / $1,783.67	Facility		$574.47	$1,243.04	$1,783.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,018.74 / $1,483.09	Professional		$1,018.74	$1,018.74	$1,483.09
United Facility/Professional Professional Modifier Low / Median / High Price $741.55 / $1,072.34 / $1,276.59	Professional		$741.55	$1,072.34	$1,276.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,068.58 / $1,086.33 / $1,783.67	Professional		$1,068.58	$1,086.33	$1,783.67