Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $3,682.00 / $12,480.00	Facility		$1,086.00	$3,682.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,341.38 / $2,812.75 / $4,595.91	Professional		$2,341.38	$2,812.75	$4,595.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,474.65 / $2,542.42	Facility		$80.00	$2,474.65	$2,542.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,209.63 / $3,209.63 / $3,209.63	Facility		$3,209.63	$3,209.63	$3,209.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,584.27 / $3,542.01 / $5,386.26	Professional		$2,584.27	$3,542.01	$5,386.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $28,983.24	Facility		$55.00	$2,000.00	$28,983.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,296.08 / $20,722.64 / $24,211.65	Professional		$20,296.08	$20,722.64	$24,211.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,611.71 / $3,231.76 / $5,098.26	Facility		$2,611.71	$3,231.76	$5,098.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,248.64 / $4,154.27 / $5,151.29	Professional		$3,248.64	$4,154.27	$5,151.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,367.10 / $3,367.10 / $3,367.10	Professional		$3,367.10	$3,367.10	$3,367.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,630.13 / $3,263.88 / $5,202.70	Facility		$2,630.13	$3,263.88	$5,202.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,629.72 / $3,744.48 / $5,737.02	Professional		$2,629.72	$3,744.48	$5,737.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,078.46 / $2,830.04 / $4,635.37	Professional		$2,078.46	$2,830.04	$4,635.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,363.69 / $2,693.13 / $3,721.06	Professional		$2,363.69	$2,693.13	$3,721.06