Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $4,365.16	Professional		$2,344.23	$2,754.23	$4,365.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,398.83 / $2,454.71	Facility		$79.43	$2,398.83	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $5,623.41	Professional		$2,511.89	$3,548.13	$5,623.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $21,877.62	Facility		$54.95	$56.23	$21,877.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,417.38 / $23,442.29 / $23,442.29	Professional		$20,417.38	$23,442.29	$23,442.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,235.94 / $5,888.44	Facility		$2,344.23	$3,235.94	$5,888.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $4,365.16	Professional		$2,454.71	$3,162.28	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $346.74 / $2,344.23	Professional		$32.36	$346.74	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $5,128.61	Professional		$3,630.78	$3,630.78	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $5,623.41	Facility		$2,511.89	$3,235.94	$5,623.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,548.13 / $5,623.41	Professional		$2,454.71	$3,548.13	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,964.78 / $23,988.33	Facility		$4,570.88	$10,964.78	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $4,265.80	Professional		$2,089.30	$2,818.38	$4,265.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,570.40 / $2,570.40	Professional		$2,398.83	$2,570.40	$2,570.40