Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,511.89 / $7,943.28	Facility		$1,047.13	$2,511.89	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,698.24	Professional		$1,047.13	$1,318.26	$1,698.24
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 $1,122.02 / $1,778.28 / $7,762.47	Facility		$1,122.02	$1,778.28	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,511.89	Professional		$2,137.96	$2,137.96	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $13,182.57 / $13,182.57	Professional		$8,709.64	$13,182.57	$13,182.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $3,235.94	Facility		$1,318.26	$1,737.80	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,089.30	Professional		$1,047.13	$1,380.38	$2,089.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,862.09 / $3,715.35	Professional		$1,737.80	$1,862.09	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $4,786.30	Facility		$1,230.27	$1,737.80	$4,786.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,819.70 / $3,019.95	Professional		$79.43	$1,819.70	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $724.44 / $1,737.80	Facility		$630.96	$724.44	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,202.26	Professional		$724.44	$724.44	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,737.80 / $1,737.80	Professional		$354.81	$1,737.80	$1,737.80