Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.00 / $270.19 / $275.39	Facility		$265.00	$270.19	$275.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.41 / $275.39 / $436.14	Professional		$249.41	$275.39	$436.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $593.41 / $593.41 / $593.41	Facility		$593.41	$593.41	$593.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.30 / $324.30 / $324.30	Facility		$324.30	$324.30	$324.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $236.74 / $236.74	Professional		$236.74	$236.74	$236.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,792.04 / $3,287.00 / $3,287.00	Facility		$2,792.04	$3,287.00	$3,287.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,321.60 / $3,321.60 / $4,795.88	Professional		$3,321.60	$3,321.60	$4,795.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.15 / $410.57 / $593.41	Facility		$167.15	$410.57	$593.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.15 / $534.07 / $593.41	Professional		$167.15	$534.07	$593.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $593.41 / $652.75 / $1,335.17	Professional		$593.41	$652.75	$1,335.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.15 / $396.49 / $593.41	Facility		$167.15	$396.49	$593.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $236.74 / $464.44	Professional		$236.74	$236.74	$464.44
United Facility/Professional Professional Modifier Low / Median / High Price $215.77 / $312.02 / $371.45	Professional		$215.77	$312.02	$371.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $308.60 / $310.93 / $593.41	Professional		$308.60	$310.93	$593.41