Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,677.35 / $14,791.08	Facility		$2,089.30	$4,677.35	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $3,630.78	Professional		$1,949.84	$2,454.71	$3,630.78
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 $2,089.30 / $5,888.44 / $14,454.40	Facility		$2,089.30	$5,888.44	$14,454.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,981.07 / $4,677.35	Professional		$1,698.24	$3,981.07	$4,677.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $15,488.17	Facility		$15,488.17	$15,488.17	$15,488.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $24,547.09 / $24,547.09	Professional		$16,218.10	$24,547.09	$24,547.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $6,025.60	Facility		$2,454.71	$3,235.94	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $4,073.80	Professional		$1,949.84	$2,570.40	$4,073.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,467.37 / $6,918.31	Professional		$3,235.94	$3,467.37	$6,918.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $9,120.11	Facility		$2,290.87	$3,311.31	$9,120.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $5,623.41	Professional		$1,698.24	$3,388.44	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $3,235.94	Facility		$1,174.90	$1,348.96	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,238.72	Professional		$1,348.96	$1,348.96	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $3,235.94 / $3,235.94	Professional		$1,258.93	$3,235.94	$3,235.94