Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.54 / $262.54 / $283.54	Facility		$262.54	$262.54	$283.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $283.54 / $525.08	Professional		$251.12	$283.54	$525.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $599.65 / $599.65 / $599.65	Facility		$599.65	$599.65	$599.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $402.09	Facility		$402.09	$402.09	$402.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $293.52 / $402.09	Professional		$293.52	$293.52	$402.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,775.01 / $3,116.67 / $3,116.67	Facility		$2,775.01	$3,116.67	$3,116.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,149.47 / $3,149.47 / $3,957.38	Professional		$3,149.47	$3,149.47	$3,957.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.94 / $417.90 / $599.65	Facility		$169.94	$417.90	$599.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.86 / $539.69 / $608.95	Professional		$171.86	$539.69	$608.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $458.73 / $611.64 / $1,349.21	Professional		$458.73	$611.64	$1,349.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.94 / $402.09 / $599.65	Facility		$169.94	$402.09	$599.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $293.52 / $414.15	Professional		$293.52	$293.52	$414.15
United Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Facility		$260.00	$260.00	$260.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.37 / $324.52 / $399.40	Professional		$219.37	$324.52	$399.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $319.29 / $322.36 / $599.65	Professional		$319.29	$322.36	$599.65