Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,570.88 / $14,454.40	Facility		$1,905.46	$4,570.88	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $3,090.30	Professional		$1,778.28	$2,344.23	$3,090.30
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 $2,041.74 / $3,235.94 / $14,125.38	Facility		$2,041.74	$3,235.94	$14,125.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $4,570.88	Professional		$3,890.45	$3,890.45	$4,570.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility		$15,135.61	$15,135.61	$15,135.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $23,442.29 / $23,442.29	Professional		$15,848.93	$23,442.29	$23,442.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $5,888.44	Facility		$2,398.83	$3,162.28	$5,888.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,801.89	Professional		$1,905.46	$2,511.89	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,388.44 / $6,760.83	Professional		$3,162.28	$3,388.44	$6,760.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $8,709.64	Facility		$2,187.76	$3,162.28	$8,709.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,311.31 / $5,495.41	Professional		$79.43	$3,311.31	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $3,162.28	Facility		$1,148.15	$1,318.26	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,187.76	Professional		$1,318.26	$1,318.26	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,162.28 / $3,162.28	Professional		$1,096.48	$3,162.28	$3,162.28