Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $3,416.40 / $9,499.62	Facility		$1,170.00	$3,416.40	$9,499.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.00 / $1,287.00 / $1,579.50	Professional		$1,092.00	$1,287.00	$1,579.50
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 $146.80 / $1,298.98 / $5,475.60	Facility		$146.80	$1,298.98	$5,475.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,033.50 / $2,374.96 / $2,845.47	Professional		$1,033.50	$2,374.96	$2,845.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,191.10 / $9,262.50 / $9,262.50	Facility		$3,191.10	$9,262.50	$9,262.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,711.00 / $9,711.00 / $14,625.00	Professional		$9,711.00	$9,711.00	$14,625.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,189.50 / $1,950.00 / $2,925.00	Facility		$1,189.50	$1,950.00	$2,925.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,852.50 / $1,950.00 / $2,437.50	Professional		$1,852.50	$1,950.00	$2,437.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.50 / $2,437.50 / $6,825.00	Professional		$1,267.50	$2,437.50	$6,825.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.40 / $1,840.41 / $4,258.80	Facility		$217.40	$1,840.41	$4,258.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $2,359.50 / $3,412.50	Professional		$1,560.00	$2,359.50	$3,412.50
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $819.00 / $1,248.00	Professional		$819.00	$819.00	$1,248.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $760.50 / $1,950.00	Professional		$239.16	$760.50	$1,950.00