Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,890.45 / $12,302.69	Facility		$1,621.81	$3,890.45	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,884.03	Professional		$1,513.56	$2,041.74	$2,884.03
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 $1,778.28 / $2,754.23 / $12,022.64	Facility		$1,778.28	$2,754.23	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,981.07	Professional		$3,311.31	$3,311.31	$3,981.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $20,417.38 / $20,417.38	Professional		$13,489.63	$20,417.38	$20,417.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $5,011.87	Facility		$2,041.74	$2,691.53	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,235.94	Professional		$1,621.81	$2,187.76	$3,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,951.21 / $5,754.40	Professional		$2,691.53	$2,951.21	$5,754.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $7,413.10	Facility		$1,905.46	$2,691.53	$7,413.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,818.38 / $4,786.30	Professional		$79.43	$2,818.38	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,148.15 / $2,691.53	Facility		$977.24	$1,148.15	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,862.09	Professional		$1,148.15	$1,148.15	$1,862.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $2,691.53 / $2,691.53	Professional		$18.20	$2,691.53	$2,691.53