Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.39 / $3,682.00 / $12,281.00	Facility		$857.39	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.95 / $935.69 / $1,489.40	Professional		$775.95	$935.69	$1,489.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $836.50 / $853.77	Facility		$80.00	$836.50	$853.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,056.80 / $1,056.80 / $1,056.80	Facility		$1,056.80	$1,056.80	$1,056.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $853.96 / $1,175.60 / $1,729.99	Professional		$853.96	$1,175.60	$1,729.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,489.79	Facility		$55.00	$55.00	$7,489.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,737.44 / $6,870.88 / $8,035.13	Professional		$6,737.44	$6,870.88	$8,035.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.25 / $1,039.89 / $1,656.07	Facility		$851.25	$1,039.89	$1,656.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.70 / $1,378.44 / $1,709.27	Professional		$1,148.70	$1,378.44	$1,709.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.29 / $1,196.00 / $1,533.59	Professional		$1,165.29	$1,196.00	$1,533.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $853.17 / $1,041.99 / $1,675.58	Facility		$853.17	$1,041.99	$1,675.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $861.56 / $1,240.35 / $1,838.62	Professional		$861.56	$1,240.35	$1,838.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,122.00 / $16,000.00	Facility		$2,600.00	$7,122.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $685.08 / $937.61 / $1,498.85	Professional		$685.08	$937.61	$1,498.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $784.30 / $891.35 / $1,235.97	Professional		$784.30	$891.35	$1,235.97