Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,224.00 / $11,453.00	Facility		$767.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.60 / $685.91 / $1,131.05	Professional		$572.60	$685.91	$1,131.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $621.13 / $630.44	Facility		$80.00	$621.13	$630.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $769.64 / $769.64 / $769.64	Facility		$769.64	$769.64	$769.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.80 / $889.11 / $1,319.32	Professional		$659.80	$889.11	$1,319.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,176.15 / $11,500.00 / $26,542.00	Facility		$3,176.15	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,271.98 / $5,271.98 / $5,848.95	Professional		$5,271.98	$5,271.98	$5,848.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $647.67 / $836.08 / $1,363.12	Facility		$647.67	$836.08	$1,363.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $836.56 / $1,003.88 / $1,244.81	Professional		$836.56	$1,003.88	$1,244.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $807.80 / $807.80 / $807.80	Professional		$807.80	$807.80	$807.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $647.67 / $841.98 / $1,475.59	Facility		$647.67	$841.98	$1,475.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.06 / $914.48 / $1,397.72	Professional		$676.06	$914.48	$1,397.72
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 $521.63 / $695.51 / $1,104.51	Professional		$521.63	$695.51	$1,104.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $571.17 / $647.67 / $901.10	Professional		$571.17	$647.67	$901.10