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 $3,548.74 / $3,963.27 / $6,454.90	Professional		$3,548.74	$3,963.27	$6,454.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $3,403.41 / $3,503.14	Facility		$80.00	$3,403.41	$3,503.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,449.92 / $4,449.92 / $4,449.92	Facility		$4,449.92	$4,449.92	$4,449.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,967.95 / $5,270.53 / $8,162.05	Professional		$3,967.95	$5,270.53	$8,162.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $31,169.11	Facility		$55.00	$55.00	$31,169.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,520.66 / $30,520.66 / $33,489.08	Professional		$30,520.66	$30,520.66	$33,489.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,798.82 / $5,035.60 / $7,964.26	Facility		$3,798.82	$5,035.60	$7,964.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,788.50 / $5,746.20 / $7,125.29	Professional		$4,788.50	$5,746.20	$7,125.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,384.60 / $5,384.60 / $5,384.60	Professional		$5,384.60	$5,384.60	$5,384.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,798.82 / $5,067.43 / $8,033.57	Facility		$3,798.82	$5,067.43	$8,033.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,022.16 / $5,572.21 / $8,344.53	Professional		$4,022.16	$5,572.21	$8,344.53
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 $3,210.97 / $4,307.53 / $6,757.84	Professional		$3,210.97	$4,307.53	$6,757.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,269.47 / $3,727.75 / $5,145.51	Professional		$3,269.47	$3,727.75	$5,145.51