Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,793.00 / $6,857.55 / $19,020.30	Facility		$2,793.00	$6,857.55	$19,020.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,002.88 / $2,572.50 / $3,123.75	Professional		$2,002.88	$2,572.50	$3,123.75
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 $2,368.31 / $8,625.06 / $19,481.50	Facility		$2,368.31	$8,625.06	$19,481.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,947.75 / $4,476.30 / $5,363.11	Professional		$1,947.75	$4,476.30	$5,363.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,880.00 / $17,456.25 / $17,456.25	Facility		$5,880.00	$17,456.25	$17,456.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,375.00 / $18,375.00 / $27,562.50	Professional		$18,375.00	$18,375.00	$27,562.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,241.75 / $3,675.00 / $5,512.50	Facility		$2,241.75	$3,675.00	$5,512.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,491.25 / $3,675.00 / $4,593.75	Professional		$3,491.25	$3,675.00	$4,593.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,388.75 / $4,593.75 / $12,862.50	Professional		$2,388.75	$4,593.75	$12,862.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,460.94 / $3,675.00 / $11,101.83	Facility		$2,460.94	$3,675.00	$11,101.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,940.00 / $4,446.75 / $6,431.25	Professional		$2,940.00	$4,446.75	$6,431.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,543.50 / $3,675.00 / $4,410.00	Facility		$1,543.50	$3,675.00	$4,410.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $1,543.50 / $2,352.00	Professional		$1,543.50	$1,543.50	$2,352.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $1,433.25 / $3,675.00	Professional		$208.00	$1,433.25	$3,675.00