Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,311.31 / $10,471.29	Facility		$1,380.38	$3,311.31	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,187.76	Professional		$1,380.38	$1,737.80	$2,187.76
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 $1,479.11 / $3,235.94 / $10,232.93	Facility		$1,479.11	$3,235.94	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,311.31	Professional		$2,754.23	$2,754.23	$3,311.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Facility		$10,715.19	$10,715.19	$10,715.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $16,982.44 / $16,982.44	Professional		$11,220.18	$16,982.44	$16,982.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $4,265.80	Facility		$1,737.80	$2,344.23	$4,265.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,818.38	Professional		$1,380.38	$1,819.70	$2,818.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,454.71 / $4,897.79	Professional		$2,290.87	$2,454.71	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $6,309.57	Facility		$1,584.89	$2,290.87	$6,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $3,981.07	Professional		$2,041.74	$2,511.89	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $954.99 / $2,290.87	Facility		$812.83	$954.99	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,584.89	Professional		$954.99	$954.99	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,290.87 / $2,290.87	Professional		$776.25	$2,290.87	$2,290.87