Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,050.59 / $14,148.40 / $39,242.40	Facility		$6,050.59	$14,148.40	$39,242.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,666.54 / $2,666.54 / $2,666.54	Professional		$2,666.54	$2,666.54	$2,666.54
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 $4,928.43 / $17,795.08 / $33,782.76	Facility		$4,928.43	$17,795.08	$33,782.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,235.41 / $9,235.41 / $11,065.06	Professional		$9,235.41	$9,235.41	$11,065.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,131.52 / $36,015.44 / $36,015.44	Facility		$12,131.52	$36,015.44	$36,015.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $37,759.36 / $37,759.36 / $56,866.50	Professional		$37,759.36	$37,759.36	$56,866.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,549.32 / $7,582.20 / $11,098.09	Facility		$4,549.32	$7,582.20	$11,098.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,582.20 / $7,582.20 / $9,477.75	Professional		$7,582.20	$7,582.20	$9,477.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,928.43 / $9,477.75 / $26,537.70	Professional		$4,928.43	$9,477.75	$26,537.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,776.79 / $7,589.78 / $27,307.36	Facility		$4,776.79	$7,589.78	$27,307.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $7,165.31 / $9,477.75 / $13,268.85	Professional		$7,165.31	$9,477.75	$13,268.85
United Facility/Professional Professional Modifier Low / Median / High Price $3,184.52 / $3,184.52 / $7,582.20	Professional		$3,184.52	$3,184.52	$7,582.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,962.17 / $7,582.20	Professional		$846.27	$1,962.17	$7,582.20