Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.60 / $351.36 / $358.12	Facility		$344.60	$351.36	$358.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.85 / $358.12 / $694.33	Professional		$337.85	$358.12	$694.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $771.65 / $771.65 / $771.65	Facility		$771.65	$771.65	$771.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.17 / $499.17 / $499.17	Facility		$499.17	$499.17	$499.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $364.39 / $499.17	Professional		$364.39	$364.39	$499.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,299.75 / $4,531.93 / $4,531.93	Facility		$4,299.75	$4,531.93	$4,531.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,092.91 / $5,092.91 / $5,787.38	Professional		$5,092.91	$5,092.91	$5,787.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $248.53 / $537.77 / $771.65	Facility		$248.53	$537.77	$771.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $248.53 / $709.92 / $1,028.86	Professional		$248.53	$709.92	$1,028.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $771.65 / $848.82 / $1,736.21	Professional		$771.65	$848.82	$1,736.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $248.53 / $515.60 / $771.65	Facility		$248.53	$515.60	$771.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $364.39 / $514.15	Professional		$364.39	$364.39	$514.15
United Facility/Professional Professional Modifier Low / Median / High Price $320.81 / $471.59 / $552.29	Professional		$320.81	$471.59	$552.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $462.30 / $469.98 / $771.65	Professional		$462.30	$469.98	$771.65