Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.42 / $3,682.00 / $12,941.00	Facility		$800.42	$3,682.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.13 / $676.60 / $1,185.57	Professional		$270.13	$676.60	$1,185.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $261.22 / $261.22 / $261.22	Facility		$261.22	$261.22	$261.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,187.52 / $6,187.52 / $6,187.52	Facility		$6,187.52	$6,187.52	$6,187.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.50 / $884.26 / $1,929.58	Professional		$361.50	$884.26	$1,929.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,598.85 / $26,542.00 / $26,542.00	Facility		$1,598.85	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,620.00 / $10,075.35 / $10,407.83	Professional		$4,620.00	$10,075.35	$10,407.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $320.95 / $835.85 / $2,295.53	Facility		$320.95	$835.85	$2,295.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $405.78 / $914.44 / $1,496.36	Professional		$405.78	$914.44	$1,496.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $362.56 / $427.04 / $1,143.58	Professional		$362.56	$427.04	$1,143.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $320.95 / $843.55 / $2,297.00	Facility		$320.95	$843.55	$2,297.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $366.04 / $928.76 / $1,942.20	Professional		$366.04	$928.76	$1,942.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,184.00 / $21,657.00	Facility		$2,608.00	$7,184.00	$21,657.00
United Facility/Professional Professional Modifier Low / Median / High Price $841.13 / $1,170.40 / $1,969.69	Professional		$841.13	$1,170.40	$1,969.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $709.50 / $795.64 / $1,128.40	Professional		$709.50	$795.64	$1,128.40