Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,964.78 / $34,673.69	Facility		$4,897.79	$10,964.78	$34,673.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,248.07 / $7,079.46	Professional		$2,691.53	$5,248.07	$7,079.46
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 $4,897.79 / $10,964.78 / $33,884.42	Facility		$4,897.79	$10,964.78	$33,884.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $10,964.78	Professional		$9,332.54	$9,332.54	$10,964.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $36,307.81 / $36,307.81 / $36,307.81	Facility		$36,307.81	$36,307.81	$36,307.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $38,018.94 / $56,234.13 / $56,234.13	Professional		$38,018.94	$56,234.13	$56,234.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $7,585.78 / $14,125.38	Facility		$5,623.41	$7,585.78	$14,125.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $7,585.78 / $9,549.93	Professional		$2,691.53	$7,585.78	$9,549.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $8,128.31 / $16,218.10	Professional		$7,585.78	$8,128.31	$16,218.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $7,585.78 / $20,892.96	Facility		$4,677.35	$7,585.78	$20,892.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $8,317.64 / $13,182.57	Professional		$6,760.83	$8,317.64	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,162.28 / $7,585.78	Facility		$2,754.23	$3,162.28	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $5,248.07	Professional		$3,162.28	$3,162.28	$5,248.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $7,585.78 / $7,585.78	Professional		$1,949.84	$7,585.78	$7,585.78