Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $3,620.00 / $12,480.00	Facility		$1,086.00	$3,620.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,630.34 / $1,849.13 / $3,044.98	Professional		$1,630.34	$1,849.13	$3,044.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,523.97 / $1,550.14	Facility		$80.00	$1,523.97	$1,550.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,047.39 / $2,047.39 / $2,047.39	Facility		$2,047.39	$2,047.39	$2,047.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,823.34 / $2,449.38 / $3,752.73	Professional		$1,823.34	$2,449.38	$3,752.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,423.12	Facility		$55.00	$55.00	$16,423.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,236.43 / $18,236.43 / $18,236.43	Professional		$18,236.43	$18,236.43	$18,236.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,751.30 / $2,332.55 / $4,001.98	Facility		$1,751.30	$2,332.55	$4,001.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,191.08 / $2,629.29 / $3,260.32	Professional		$2,191.08	$2,629.29	$3,260.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,299.90 / $2,299.90 / $2,299.90	Professional		$2,299.90	$2,299.90	$2,299.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,751.30 / $2,361.19 / $4,006.65	Facility		$1,751.30	$2,361.19	$4,006.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,838.42 / $2,594.92 / $3,903.37	Professional		$1,838.42	$2,594.92	$3,903.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,503.64 / $1,985.90 / $3,150.01	Professional		$1,503.64	$1,985.90	$3,150.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,496.01 / $1,706.59 / $2,364.26	Professional		$1,496.01	$1,706.59	$2,364.26