Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,638.16 / $6,218.53 / $17,134.09	Facility		$2,638.16	$6,218.53	$17,134.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,901.85 / $2,442.73 / $2,966.19	Professional		$1,901.85	$2,442.73	$2,966.19
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 $2,268.26 / $7,938.91 / $15,548.38	Facility		$2,268.26	$7,938.91	$15,548.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,859.33 / $3,859.33 / $4,623.91	Professional		$3,859.33	$3,859.33	$4,623.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,583.41 / $16,575.74 / $16,575.74	Facility		$5,583.41	$16,575.74	$16,575.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,378.36 / $17,378.36 / $26,172.23	Professional		$17,378.36	$17,378.36	$26,172.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,093.78 / $3,489.63 / $5,150.17	Facility		$2,093.78	$3,489.63	$5,150.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,489.63 / $3,489.63 / $4,362.04	Professional		$3,489.63	$3,489.63	$4,362.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,268.26 / $4,362.04 / $12,213.70	Professional		$2,268.26	$4,362.04	$12,213.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,379.48 / $8,008.37 / $18,498.93	Facility		$2,379.48	$8,008.37	$18,498.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,140.67 / $4,187.56 / $6,106.85	Professional		$3,140.67	$4,187.56	$6,106.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,465.64 / $1,465.64 / $3,489.63	Professional		$1,465.64	$1,465.64	$3,489.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $296.39 / $3,489.63	Professional		$200.00	$296.39	$3,489.63