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 $2,302.02 / $2,761.59 / $4,404.77	Professional		$2,302.02	$2,761.59	$4,404.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,436.44 / $2,500.07	Facility		$80.00	$2,436.44	$2,500.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,145.79 / $3,145.79 / $3,145.79	Facility		$3,145.79	$3,145.79	$3,145.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,588.56 / $3,567.36 / $5,431.89	Professional		$2,588.56	$3,567.36	$5,431.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $28,439.82	Facility		$55.00	$55.00	$28,439.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,805.56 / $20,805.56 / $23,750.10	Professional		$20,805.56	$20,805.56	$23,750.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,551.94 / $3,168.64 / $4,885.42	Facility		$2,551.94	$3,168.64	$4,885.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,395.98 / $4,075.17 / $5,053.21	Professional		$3,395.98	$4,075.17	$5,053.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,626.30 / $3,626.30 / $3,626.30	Professional		$3,626.30	$3,626.30	$3,626.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,563.66 / $3,191.75 / $5,082.93	Facility		$2,563.66	$3,191.75	$5,082.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,640.53 / $3,712.50 / $5,626.57	Professional		$2,640.53	$3,712.50	$5,626.57
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 $2,079.63 / $2,860.15 / $4,533.62	Professional		$2,079.63	$2,860.15	$4,533.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,318.69 / $2,640.53 / $3,651.03	Professional		$2,318.69	$2,640.53	$3,651.03