Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,168.69 / $13,182.57	Facility		$1,905.46	$4,168.69	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $3,235.94	Professional		$1,737.80	$2,238.72	$3,235.94
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 $1,905.46 / $5,370.32 / $12,882.50	Facility		$1,905.46	$5,370.32	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,548.13 / $4,265.80	Professional		$1,548.82	$3,548.13	$4,265.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility		$13,803.84	$13,803.84	$13,803.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $21,877.62 / $21,877.62	Professional		$14,454.40	$21,877.62	$21,877.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $5,495.41	Facility		$2,187.76	$2,951.21	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,630.78	Professional		$1,737.80	$2,344.23	$3,630.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,162.28 / $6,165.95	Professional		$2,951.21	$3,162.28	$6,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,019.95 / $8,128.31	Facility		$2,041.74	$3,019.95	$8,128.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,090.30 / $5,128.61	Professional		$1,548.82	$3,090.30	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $2,951.21	Facility		$1,047.13	$1,230.27	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,995.26	Professional		$1,230.27	$1,230.27	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,951.21	Professional		$1,148.15	$1,148.15	$2,951.21