Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.58 / $352.58 / $380.79	Facility		$352.58	$352.58	$380.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.37 / $375.59 / $705.16	Professional		$324.37	$375.59	$705.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $805.31 / $805.31 / $805.31	Facility		$805.31	$805.31	$805.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $427.13 / $427.13	Facility		$427.13	$427.13	$427.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $311.80 / $427.13	Professional		$311.80	$311.80	$427.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,207.97 / $3,226.39 / $3,226.39	Facility		$1,207.97	$3,226.39	$3,226.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,986.28 / $3,986.28 / $6,039.83	Professional		$3,986.28	$3,986.28	$6,039.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.53 / $561.22 / $805.31	Facility		$194.53	$561.22	$805.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.72 / $681.00 / $805.31	Professional		$196.72	$681.00	$805.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $616.07 / $821.42 / $1,811.95	Professional		$616.07	$821.42	$1,811.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.53 / $538.08 / $805.31	Facility		$194.53	$538.08	$805.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $311.80 / $439.94	Professional		$311.80	$311.80	$439.94
United Facility/Professional Professional Modifier Low / Median / High Price $251.10 / $371.45 / $462.02	Professional		$251.10	$371.45	$462.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $365.47 / $368.99 / $805.31	Professional		$365.47	$368.99	$805.31