Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $3,774.00 / $13,401.00	Facility		$1,077.00	$3,774.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,237.54 / $2,496.11 / $4,205.91	Professional		$2,237.54	$2,496.11	$4,205.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,153.03 / $2,214.08	Facility		$80.00	$2,153.03	$2,214.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,802.44 / $2,802.44 / $2,802.44	Facility		$2,802.44	$2,802.44	$2,802.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,504.33 / $3,401.33 / $5,096.42	Professional		$2,504.33	$3,401.33	$5,096.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $39,312.69	Facility		$55.00	$55.00	$39,312.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,967.80 / $21,112.73 / $21,659.73	Professional		$20,967.80	$21,112.73	$21,659.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,395.44 / $3,108.04 / $4,957.21	Facility		$2,395.44	$3,108.04	$4,957.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.14 / $3,622.97 / $4,492.47	Professional		$3,019.14	$3,622.97	$4,492.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,966.20 / $2,966.20 / $2,966.20	Professional		$2,966.20	$2,966.20	$2,966.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,395.44 / $3,122.70 / $5,155.67	Facility		$2,395.44	$3,122.70	$5,155.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,542.16 / $3,553.85 / $5,330.43	Professional		$2,542.16	$3,553.85	$5,330.43
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,027.00 / $20,955.00	Facility		$4,600.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,081.07 / $2,735.16 / $4,369.08	Professional		$2,081.07	$2,735.16	$4,369.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,061.39 / $2,349.67 / $3,244.74	Professional		$2,061.39	$2,349.67	$3,244.74