Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,620.00 / $12,480.00	Facility		$983.00	$3,620.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.36 / $1,088.35 / $1,674.51	Professional		$903.36	$1,088.35	$1,674.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.46 / $1,239.46 / $1,239.46	Facility		$1,239.46	$1,239.46	$1,239.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,050.68 / $1,417.69 / $2,165.32	Professional		$1,050.68	$1,417.69	$2,165.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,269.45	Facility		$55.00	$55.00	$6,269.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,883.44 / $8,035.36 / $9,444.83	Professional		$7,883.44	$8,035.36	$9,444.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,025.33 / $1,369.20 / $2,050.29	Facility		$1,025.33	$1,369.20	$2,050.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,044.48 / $1,044.48 / $1,044.48	Professional		$1,044.48	$1,044.48	$1,044.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,800.10 / $1,800.10 / $1,800.10	Professional		$1,800.10	$1,800.10	$1,800.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,048.41 / $1,371.80 / $2,147.44	Facility		$1,048.41	$1,371.80	$2,147.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,077.17 / $1,447.20 / $2,184.96	Professional		$1,077.17	$1,447.20	$2,184.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $832.06 / $1,118.02 / $2,035.58	Professional		$832.06	$1,118.02	$2,035.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,391.85 / $1,391.85 / $1,879.00	Professional		$1,391.85	$1,391.85	$1,879.00