Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,818.38 / $8,912.51	Facility		$1,174.90	$2,818.38	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,445.44 / $2,089.30	Professional		$354.81	$1,445.44	$2,089.30
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 $154.88 / $1,348.96 / $4,570.88	Facility		$154.88	$1,348.96	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,398.83 / $2,818.38	Professional		$1,023.29	$2,398.83	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $14,791.08 / $14,791.08	Professional		$9,772.37	$14,791.08	$14,791.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $3,630.78	Facility		$1,318.26	$1,949.84	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,344.23	Professional		$1,096.48	$1,548.82	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,089.30 / $4,168.69	Professional		$1,905.46	$2,089.30	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,737.80 / $4,265.80	Facility		$218.78	$1,737.80	$4,265.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,041.74 / $3,388.44	Professional		$1,023.29	$2,041.74	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $812.83 / $1,949.84	Facility		$707.95	$812.83	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,348.96	Professional		$812.83	$812.83	$1,348.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,949.84 / $1,949.84	Professional		$758.58	$1,949.84	$1,949.84