Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.00 / $3,074.76 / $8,716.50	Facility		$1,053.00	$3,074.76	$8,716.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $982.80 / $1,158.30 / $1,491.75	Professional		$982.80	$1,158.30	$1,491.75
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 $1,140.75 / $4,118.91 / $7,819.50	Facility		$1,140.75	$4,118.91	$7,819.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,374.96 / $2,374.96 / $2,845.47	Professional		$2,374.96	$2,374.96	$2,845.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,120.00 / $9,262.50 / $9,262.50	Facility		$3,120.00	$9,262.50	$9,262.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,711.00 / $9,711.00 / $14,625.00	Professional		$9,711.00	$9,711.00	$14,625.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,053.00 / $1,882.24 / $2,632.50	Facility		$1,053.00	$1,882.24	$2,632.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,842.61 / $1,989.00 / $2,925.00	Professional		$1,842.61	$1,989.00	$2,925.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.50 / $2,437.50 / $6,825.00	Professional		$1,267.50	$2,437.50	$6,825.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,175.23 / $1,950.00 / $6,320.20	Facility		$1,175.23	$1,950.00	$6,320.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,842.61 / $2,193.75 / $3,071.25	Professional		$1,842.61	$2,193.75	$3,071.25
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $737.10 / $1,123.20	Professional		$737.10	$737.10	$1,123.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $336.26 / $1,950.00	Professional		$336.26	$336.26	$1,950.00