Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,138.40 / $5,676.48 / $15,908.40	Facility		$2,138.40	$5,676.48	$15,908.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,814.40 / $2,138.40 / $2,754.00	Professional		$1,814.40	$2,138.40	$2,754.00
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 $2,158.29 / $7,435.75 / $14,435.63	Facility		$2,158.29	$7,435.75	$14,435.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,717.20 / $3,946.15 / $4,727.93	Professional		$1,717.20	$3,946.15	$4,727.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,184.00 / $15,390.00 / $15,390.00	Facility		$5,184.00	$15,390.00	$15,390.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,200.00 / $16,200.00 / $24,300.00	Professional		$16,200.00	$16,200.00	$24,300.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,944.00 / $3,240.00 / $4,558.49	Facility		$1,944.00	$3,240.00	$4,558.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,078.00 / $3,240.00 / $4,050.00	Professional		$3,078.00	$3,240.00	$4,050.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,106.00 / $4,050.00 / $11,340.00	Professional		$2,106.00	$4,050.00	$11,340.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,200.77 / $3,402.16 / $11,668.26	Facility		$2,200.77	$3,402.16	$11,668.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $3,888.00 / $4,665.60	Professional		$2,592.00	$3,888.00	$4,665.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,360.80 / $1,995.84	Professional		$1,360.80	$1,360.80	$1,995.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,296.00 / $3,240.00	Professional		$1,296.00	$1,296.00	$3,240.00