Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,027.20 / $1,226.60 / $1,931.07	Professional		$1,027.20	$1,226.60	$1,931.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,106.88 / $1,125.30	Facility		$80.00	$1,106.88	$1,125.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,379.44 / $1,379.44 / $1,379.44	Facility		$1,379.44	$1,379.44	$1,379.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.28 / $1,522.96 / $2,209.10	Professional		$1,105.28	$1,522.96	$2,209.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,132.00	Facility		$55.00	$55.00	$17,132.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,798.87 / $9,013.36 / $10,485.15	Professional		$8,798.87	$9,013.36	$10,485.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,084.18 / $1,319.87 / $2,082.56	Facility		$1,084.18	$1,319.87	$2,082.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,499.26 / $1,799.12 / $2,230.90	Professional		$1,499.26	$1,799.12	$2,230.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.70 / $1,541.93 / $2,006.00	Professional		$1,380.70	$1,541.93	$2,006.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,086.90 / $1,323.97 / $2,127.58	Facility		$1,086.90	$1,323.97	$2,127.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,128.44 / $1,579.92 / $2,380.21	Professional		$1,128.44	$1,579.92	$2,380.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $908.99 / $1,229.31 / $1,927.79	Professional		$908.99	$1,229.31	$1,927.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.66 / $1,161.51 / $1,614.33	Professional		$1,023.66	$1,161.51	$1,614.33