Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,469.06 / $3,462.80 / $9,541.16	Facility		$1,469.06	$3,462.80	$9,541.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.05 / $1,204.79 / $1,651.73	Professional		$1,059.05	$1,204.79	$1,651.73
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 $1,278.88 / $4,420.82 / $8,657.45	Facility		$1,278.88	$4,420.82	$8,657.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,366.64 / $2,366.64 / $2,835.50	Professional		$2,366.64	$2,366.64	$2,835.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,109.14 / $9,230.25 / $9,230.25	Facility		$3,109.14	$9,230.25	$9,230.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,677.19 / $9,677.19 / $14,574.08	Professional		$9,677.19	$9,677.19	$14,574.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,165.93 / $1,943.21 / $2,867.72	Facility		$1,165.93	$1,943.21	$2,867.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,943.21 / $1,943.21 / $2,429.01	Professional		$1,943.21	$1,943.21	$2,429.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,263.08 / $2,429.01 / $6,801.23	Professional		$1,263.08	$2,429.01	$6,801.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,263.08 / $1,945.16 / $5,869.97	Facility		$1,263.08	$1,945.16	$5,869.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,748.89 / $2,331.85 / $3,400.62	Professional		$1,748.89	$2,331.85	$3,400.62
United Facility/Professional Professional Modifier Low / Median / High Price $816.15 / $816.15 / $1,165.93	Professional		$816.15	$816.15	$1,165.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,119.69 / $1,148.40 / $1,943.21	Professional		$1,119.69	$1,148.40	$1,943.21