Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.48 / $471.99 / $471.99	Facility		$460.48	$471.99	$471.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $471.99 / $489.26	Professional		$460.48	$471.99	$489.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.43 / $508.43 / $542.02	Facility		$508.43	$508.43	$542.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $508.43	Professional		$508.43	$508.43	$508.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $575.60 / $2,644.30 / $2,644.30	Facility		$575.60	$2,644.30	$2,644.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,913.87 / $1,913.87 / $1,913.87	Professional		$1,913.87	$1,913.87	$1,913.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $460.48 / $508.43 / $959.87	Facility		$460.48	$508.43	$959.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $352.87 / $424.49 / $730.12	Professional		$352.87	$424.49	$730.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.48 / $508.43 / $918.66	Facility		$460.48	$508.43	$918.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $508.43 / $575.60	Professional		$508.43	$508.43	$575.60
United Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $610.14 / $640.76	Professional		$575.60	$610.14	$640.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $503.35 / $503.35 / $704.69	Professional		$503.35	$503.35	$704.69