Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,926.94 / $5,115.14 / $14,335.20	Facility		$1,926.94	$5,115.14	$14,335.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.98 / $1,926.94 / $2,481.66	Professional		$1,634.98	$1,926.94	$2,481.66
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 $1,944.85 / $6,700.06 / $13,008.84	Facility		$1,944.85	$6,700.06	$13,008.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,547.39 / $3,556.09 / $4,260.59	Professional		$1,547.39	$3,556.09	$4,260.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,671.35 / $13,868.10 / $13,868.10	Facility		$4,671.35	$13,868.10	$13,868.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,598.00 / $14,598.00 / $21,897.00	Professional		$14,598.00	$14,598.00	$21,897.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,751.76 / $2,919.60 / $4,107.62	Facility		$1,751.76	$2,919.60	$4,107.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,773.62 / $2,919.60 / $3,649.50	Professional		$2,773.62	$2,919.60	$3,649.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,897.74 / $3,649.50 / $10,218.60	Professional		$1,897.74	$3,649.50	$10,218.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,983.14 / $3,065.58 / $10,515.39	Facility		$1,983.14	$3,065.58	$10,515.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,335.67 / $3,503.52 / $5,109.30	Professional		$2,335.67	$3,503.52	$5,109.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,226.23 / $2,919.60 / $3,503.52	Facility		$1,226.23	$2,919.60	$3,503.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,226.23 / $1,868.54	Professional		$1,226.23	$1,226.23	$1,868.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $1,167.83 / $2,919.60	Professional		$1,167.83	$1,167.83	$2,919.60