Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,656.74 / $4,397.89 / $12,325.10	Facility		$1,656.74	$4,397.89	$12,325.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,405.72 / $1,656.74 / $2,133.67	Professional		$1,405.72	$1,656.74	$2,133.67
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 $1,811.07 / $5,891.36 / $11,184.95	Facility		$1,811.07	$5,891.36	$11,184.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,478.23 / $3,057.46 / $3,663.18	Professional		$1,478.23	$3,057.46	$3,663.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,016.34 / $11,923.50 / $11,923.50	Facility		$4,016.34	$11,923.50	$11,923.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,551.05 / $12,551.05 / $18,826.58	Professional		$12,551.05	$12,551.05	$18,826.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,506.13 / $2,510.21 / $3,531.33	Facility		$1,506.13	$2,510.21	$3,531.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,384.69 / $2,510.21 / $3,137.76	Professional		$2,384.69	$2,510.21	$3,137.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,631.64 / $3,137.76 / $8,785.74	Professional		$1,631.64	$3,137.76	$8,785.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,757.15 / $2,635.72 / $9,040.96	Facility		$1,757.15	$2,635.72	$9,040.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,231.30 / $3,012.25 / $4,392.87	Professional		$2,231.30	$3,012.25	$4,392.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,171.43 / $1,673.47	Professional		$1,054.29	$1,171.43	$1,673.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,300.29 / $1,500.00 / $2,510.21	Professional		$1,300.29	$1,500.00	$2,510.21