Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,000.00 / $3,162.28	Facility		$416.87	$1,000.00	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $724.44	Professional		$416.87	$524.81	$724.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,000.00 / $3,090.30	Facility		$446.68	$1,000.00	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,000.00	Professional		$831.76	$831.76	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,128.61 / $5,128.61	Professional		$3,467.37	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $691.83 / $1,288.25	Facility		$524.81	$691.83	$1,288.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $870.96	Professional		$416.87	$562.34	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $741.31 / $1,479.11	Professional		$691.83	$741.31	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $691.83 / $1,905.46	Facility		$478.63	$691.83	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,202.26	Professional		$616.60	$758.58	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $288.40 / $691.83	Facility		$251.19	$288.40	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $478.63	Professional		$288.40	$288.40	$478.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $691.83	Professional		$263.03	$263.03	$691.83