Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.36 / $818.36 / $883.82	Facility		$818.36	$818.36	$883.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.36 / $912.15 / $1,636.71	Professional		$818.36	$912.15	$1,636.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,869.17 / $1,869.17 / $1,869.17	Facility		$1,869.17	$1,869.17	$1,869.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,316.65 / $1,316.65 / $1,316.65	Facility		$1,316.65	$1,316.65	$1,316.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.15 / $961.15 / $1,316.65	Professional		$961.15	$961.15	$1,316.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,554.31 / $9,399.59 / $9,399.59	Facility		$3,554.31	$9,399.59	$9,399.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,373.79 / $11,373.79 / $17,771.55	Professional		$11,373.79	$11,373.79	$17,771.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $572.38 / $1,302.64 / $1,869.17	Facility		$572.38	$1,302.64	$1,869.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $578.84 / $1,682.25 / $1,932.17	Professional		$578.84	$1,682.25	$1,932.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,429.91 / $1,906.55 / $4,205.63	Professional		$1,429.91	$1,906.55	$4,205.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $572.38 / $1,316.65 / $1,869.17	Facility		$572.38	$1,316.65	$1,869.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $961.15 / $961.15 / $1,356.15	Professional		$961.15	$961.15	$1,356.15
United Facility/Professional Professional Modifier Low / Median / High Price $738.84 / $1,092.99 / $1,345.19	Professional		$738.84	$1,092.99	$1,345.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,075.45 / $1,085.78 / $1,869.17	Professional		$1,075.45	$1,085.78	$1,869.17