Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,715.35 / $12,882.50	Facility		$1,122.02	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $4,570.88	Professional		$2,238.72	$2,884.03	$4,570.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,454.71 / $2,570.40	Facility		$79.43	$2,454.71	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $5,888.44	Professional		$2,570.40	$3,548.13	$5,888.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $28,840.32	Facility		$1,995.26	$1,995.26	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,417.38 / $23,988.33 / $23,988.33	Professional		$20,417.38	$23,988.33	$23,988.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,311.31 / $6,309.57	Facility		$2,238.72	$3,311.31	$6,309.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $4,570.88	Professional		$2,454.71	$3,388.44	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $363.08 / $2,398.83	Professional		$32.36	$363.08	$2,398.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $5,370.32	Professional		$3,388.44	$3,388.44	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $5,754.40	Facility		$2,570.40	$3,388.44	$5,754.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,548.13 / $5,754.40	Professional		$2,454.71	$3,548.13	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $4,466.84	Professional		$2,089.30	$2,818.38	$4,466.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27