Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,315.44 / $3,100.68 / $8,543.40	Facility		$1,315.44	$3,100.68	$8,543.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.30 / $1,218.00 / $1,479.00	Professional		$948.30	$1,218.00	$1,479.00
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 $1,145.14 / $3,958.50 / $7,753.04	Facility		$1,145.14	$3,958.50	$7,753.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,119.29 / $2,119.29 / $2,539.15	Professional		$2,119.29	$2,119.29	$2,539.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,784.00 / $8,265.00 / $8,265.00	Facility		$2,784.00	$8,265.00	$8,265.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,665.20 / $8,665.20 / $13,050.00	Professional		$8,665.20	$8,665.20	$13,050.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,044.00 / $1,740.00 / $2,567.92	Facility		$1,044.00	$1,740.00	$2,567.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,740.00 / $1,740.00 / $2,175.00	Professional		$1,740.00	$1,740.00	$2,175.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,131.00 / $2,175.00 / $6,090.00	Professional		$1,131.00	$2,175.00	$6,090.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,131.00 / $1,741.74 / $5,256.29	Facility		$1,131.00	$1,741.74	$5,256.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,566.00 / $2,088.00 / $3,045.00	Professional		$1,566.00	$2,088.00	$3,045.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.80 / $730.80 / $1,113.59	Professional		$730.80	$730.80	$1,113.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $1,740.00	Professional		$846.27	$846.27	$1,740.00