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 $2,344.23 / $2,754.23 / $4,466.84	Professional		$2,344.23	$2,754.23	$4,466.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,187.76 / $2,187.76	Facility		$79.43	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $5,495.41	Professional		$2,511.89	$3,548.13	$5,495.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $23,442.29	Facility		$54.95	$56.23	$23,442.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,542.29 / $27,542.29 / $27,542.29	Professional		$27,542.29	$27,542.29	$27,542.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,388.44 / $6,165.95	Facility		$2,137.96	$3,388.44	$6,165.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $3,981.07	Professional		$2,344.23	$2,951.21	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $331.13 / $2,187.76	Professional		$32.36	$331.13	$2,187.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $4,786.30	Professional		$3,388.44	$3,388.44	$4,786.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,467.37 / $6,025.60	Facility		$2,344.23	$3,467.37	$6,025.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,467.37 / $5,495.41	Professional		$2,398.83	$3,467.37	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $13,803.84	Facility		$2,187.76	$6,918.31	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $4,365.16	Professional		$2,089.30	$2,818.38	$4,365.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $2,290.87	Professional		$2,137.96	$2,290.87	$2,290.87