Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.44 / $2,661.40 / $7,458.58	Facility		$911.44	$2,661.40	$7,458.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $911.44 / $1,002.58 / $1,306.39	Professional		$911.44	$1,002.58	$1,306.39
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 $999.73 / $3,455.87 / $6,768.65	Facility		$999.73	$3,455.87	$6,768.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,850.06 / $1,850.06 / $2,216.58	Professional		$1,850.06	$1,850.06	$2,216.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,430.50 / $7,215.54 / $7,215.54	Facility		$2,430.50	$7,215.54	$7,215.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,564.92 / $7,564.92 / $11,392.95	Professional		$7,564.92	$7,564.92	$11,392.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $911.44 / $1,519.06 / $2,242.09	Facility		$911.44	$1,519.06	$2,242.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,519.06 / $1,519.06 / $1,898.83	Professional		$1,519.06	$1,519.06	$1,898.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $987.39 / $1,898.83 / $5,316.71	Professional		$987.39	$1,898.83	$5,316.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $987.39 / $1,520.58 / $4,588.87	Facility		$987.39	$1,520.58	$4,588.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,367.15 / $1,822.87 / $2,658.36	Professional		$1,367.15	$1,822.87	$2,658.36
United Facility/Professional Professional Modifier Low / Median / High Price $638.01 / $638.01 / $935.74	Professional		$638.01	$638.01	$935.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $592.42 / $1,519.06	Professional		$239.16	$592.42	$1,519.06