Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,048.71 / $4,829.14 / $13,305.90	Facility		$2,048.71	$4,829.14	$13,305.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,476.92 / $1,896.97 / $2,547.35	Professional		$1,476.92	$1,896.97	$2,547.35
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 $1,783.49 / $6,165.15 / $12,074.22	Facility		$1,783.49	$6,165.15	$12,074.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,300.86 / $3,300.86 / $3,954.81	Professional		$3,300.86	$3,300.86	$3,954.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,335.92 / $12,872.26 / $12,872.26	Facility		$4,335.92	$12,872.26	$12,872.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,495.55 / $13,495.55 / $20,324.63	Professional		$13,495.55	$13,495.55	$20,324.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,625.97 / $2,709.95 / $3,999.50	Facility		$1,625.97	$2,709.95	$3,999.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,709.95 / $2,709.95 / $3,387.44	Professional		$2,709.95	$2,709.95	$3,387.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,438.94 / $3,387.44 / $6,097.39	Professional		$2,438.94	$3,387.44	$6,097.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,761.47 / $2,712.67 / $8,186.88	Facility		$1,761.47	$2,712.67	$8,186.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,438.96 / $3,251.94 / $4,742.41	Professional		$2,438.96	$3,251.94	$4,742.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.18 / $1,138.18 / $1,625.97	Professional		$1,138.18	$1,138.18	$1,625.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $33.20 / $2,709.95	Professional		$33.20	$33.20	$2,709.95