Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,063.42	Facility		$1,052.89	$1,052.89	$1,063.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,084.47	Professional		$1,052.89	$1,052.89	$1,084.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $121.37 / $121.37	Facility		$80.00	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.29 / $1,052.89 / $1,052.89	Facility		$993.29	$1,052.89	$1,052.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $848.30 / $1,400.54 / $1,688.59	Facility		$848.30	$1,400.54	$1,688.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,325.33 / $2,642.15 / $3,476.52	Professional		$1,325.33	$2,642.15	$3,476.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $871.37 / $947.60 / $2,232.13	Facility		$871.37	$947.60	$2,232.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,316.11	Professional		$1,052.89	$1,052.89	$1,316.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $341.11 / $1,463.51	Professional		$148.10	$341.11	$1,463.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $2,227.87	Facility		$1,052.89	$1,052.89	$2,227.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.89 / $1,052.89 / $1,052.89	Professional		$1,052.89	$1,052.89	$1,052.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.18 / $1,052.89 / $1,421.40	Professional		$300.18	$1,052.89	$1,421.40