Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $3,682.00 / $12,480.00	Facility		$1,077.00	$3,682.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,424.82 / $2,866.36 / $4,639.83	Professional		$2,424.82	$2,866.36	$4,639.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,350.23 / $2,396.92	Facility		$80.00	$2,350.23	$2,396.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,184.07 / $3,184.07 / $3,184.07	Facility		$3,184.07	$3,184.07	$3,184.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,705.94 / $3,736.13 / $5,754.32	Professional		$2,705.94	$3,736.13	$5,754.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,467.04	Facility		$55.00	$55.00	$25,467.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $32,079.30 / $32,079.30 / $32,079.30	Professional		$32,079.30	$32,079.30	$32,079.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,704.36 / $3,530.58 / $6,195.26	Facility		$2,704.36	$3,530.58	$6,195.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,399.21 / $4,079.06 / $5,058.03	Professional		$3,399.21	$4,079.06	$5,058.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,606.10 / $3,606.10 / $3,606.10	Professional		$3,606.10	$3,606.10	$3,606.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,704.36 / $3,532.41 / $6,211.15	Facility		$2,704.36	$3,532.41	$6,211.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,734.27 / $3,906.00 / $5,827.98	Professional		$2,734.27	$3,906.00	$5,827.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,958.00 / $13,134.00	Facility		$2,093.00	$5,958.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,235.28 / $3,066.39 / $4,932.93	Professional		$2,235.28	$3,066.39	$4,932.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,320.90 / $2,651.33 / $3,666.37	Professional		$2,320.90	$2,651.33	$3,666.37