Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,391.67 / $3,254.21 / $9,025.96	Facility		$1,391.67	$3,254.21	$9,025.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.90 / $1,050.90 / $6,738.62	Professional		$1,050.90	$1,050.90	$6,738.62
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 $744.73 / $2,833.93 / $7,769.64	Facility		$744.73	$2,833.93	$7,769.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.53 / $2,124.11 / $2,544.92	Professional		$592.53	$2,124.11	$2,544.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,790.32 / $8,283.76 / $8,283.76	Facility		$2,790.32	$8,283.76	$8,283.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,684.87 / $8,684.87 / $13,079.63	Professional		$8,684.87	$8,684.87	$13,079.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,046.36 / $1,743.95 / $2,354.33	Facility		$1,046.36	$1,743.95	$2,354.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,656.75 / $1,778.83 / $2,615.92	Professional		$1,656.75	$1,778.83	$2,615.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,133.57 / $2,179.94 / $6,103.82	Professional		$1,133.57	$2,179.94	$6,103.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,006.18 / $1,795.57 / $4,815.29	Facility		$1,006.18	$1,795.57	$4,815.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $894.38 / $2,092.73 / $3,051.91	Professional		$894.38	$2,092.73	$3,051.91
United Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $469.55 / $798.24	Professional		$469.55	$469.55	$798.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $436.01 / $1,743.95	Professional		$335.33	$436.01	$1,743.95