Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,327.44 / $5,442.38 / $15,095.20	Facility		$2,327.44	$5,442.38	$15,095.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,062.43 / $11,269.70 / $14,208.50	Professional		$3,062.43	$11,269.70	$14,208.50
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 $1,942.85 / $6,693.30 / $12,995.24	Facility		$1,942.85	$6,693.30	$12,995.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,545.80 / $3,552.58 / $4,256.39	Professional		$1,545.80	$3,552.58	$4,256.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,666.56 / $13,853.85 / $13,853.85	Facility		$4,666.56	$13,853.85	$13,853.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,583.00 / $14,583.00 / $21,874.50	Professional		$14,583.00	$14,583.00	$21,874.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,749.96 / $2,916.60 / $4,103.55	Facility		$1,749.96	$2,916.60	$4,103.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,770.77 / $2,916.60 / $3,645.75	Professional		$2,770.77	$2,916.60	$3,645.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,895.79 / $3,645.75 / $10,208.10	Professional		$1,895.79	$3,645.75	$10,208.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,981.10 / $3,062.51 / $10,504.17	Facility		$1,981.10	$3,062.51	$10,504.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,333.28 / $3,499.92 / $5,104.05	Professional		$2,333.28	$3,499.92	$5,104.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.97 / $1,224.97 / $1,749.96	Professional		$1,224.97	$1,224.97	$1,749.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $1,167.83 / $2,916.60	Professional		$1,167.83	$1,167.83	$2,916.60