Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,264.69 / $2,720.59 / $4,348.03	Professional		$2,264.69	$2,720.59	$4,348.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,396.27 / $2,460.29	Facility		$80.00	$2,396.27	$2,460.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,101.70 / $3,101.70 / $3,101.70	Facility		$3,101.70	$3,101.70	$3,101.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,542.71 / $3,517.75 / $5,333.66	Professional		$2,542.71	$3,517.75	$5,333.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $21,797.44	Facility		$55.00	$55.00	$21,797.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,642.09 / $20,642.09 / $23,401.88	Professional		$20,642.09	$20,642.09	$23,401.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,548.40 / $3,151.72 / $4,867.97	Facility		$2,548.40	$3,151.72	$4,867.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,346.65 / $4,015.98 / $4,979.82	Professional		$3,346.65	$4,015.98	$4,979.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,597.30 / $3,597.30 / $3,597.30	Professional		$3,597.30	$3,597.30	$3,597.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,554.25 / $3,159.84 / $5,119.14	Facility		$2,554.25	$3,159.84	$5,119.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,613.98 / $3,659.03 / $5,628.40	Professional		$2,613.98	$3,659.03	$5,628.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,027.00 / $20,955.00	Facility		$4,600.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,058.53 / $2,828.88 / $4,489.93	Professional		$2,058.53	$2,828.88	$4,489.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,285.01 / $2,602.80 / $3,597.79	Professional		$2,285.01	$2,602.80	$3,597.79