Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.20 / $3,323.54 / $9,241.42	Facility		$1,138.20	$3,323.54	$9,241.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.32 / $1,252.02 / $1,536.57	Professional		$1,062.32	$1,252.02	$1,536.57
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 $1,233.05 / $4,452.17 / $8,452.12	Facility		$1,233.05	$4,452.17	$8,452.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,311.04 / $2,311.04 / $2,768.89	Professional		$2,311.04	$2,311.04	$2,768.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,035.20 / $9,010.75 / $9,010.75	Facility		$3,035.20	$9,010.75	$9,010.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,447.06 / $9,447.06 / $14,227.50	Professional		$9,447.06	$9,447.06	$14,227.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,138.20 / $1,897.00 / $2,776.82	Facility		$1,138.20	$1,897.00	$2,776.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,897.00 / $1,897.00 / $2,371.25	Professional		$1,897.00	$1,897.00	$2,371.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,233.05 / $2,371.25 / $6,639.50	Professional		$1,233.05	$2,371.25	$6,639.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,270.32 / $1,953.15 / $6,832.45	Facility		$1,270.32	$1,953.15	$6,832.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,792.78 / $2,371.25 / $3,319.75	Professional		$1,792.78	$2,371.25	$3,319.75
United Facility/Professional Professional Modifier Low / Median / High Price $796.74 / $796.74 / $1,214.08	Professional		$796.74	$796.74	$1,214.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,510.47 / $1,549.20 / $1,897.00	Professional		$1,510.47	$1,549.20	$1,897.00