Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.65 / $3,682.00 / $12,377.00	Facility		$932.65	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.54 / $969.58 / $1,647.84	Professional		$849.54	$969.58	$1,647.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $860.22 / $877.14	Facility		$80.00	$860.22	$877.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,083.97 / $1,083.97 / $1,083.97	Facility		$1,083.97	$1,083.97	$1,083.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $929.63 / $1,271.93 / $1,947.00	Professional		$929.63	$1,271.93	$1,947.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,582.68 / $11,500.00 / $26,542.00	Facility		$3,582.68	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,050.08 / $7,084.61 / $8,241.29	Professional		$7,050.08	$7,084.61	$8,241.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $932.77 / $1,290.63 / $2,001.10	Facility		$932.77	$1,290.63	$2,001.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,178.23 / $1,413.87 / $1,753.20	Professional		$1,178.23	$1,413.87	$1,753.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,109.24 / $1,489.30 / $1,651.94	Professional		$1,109.24	$1,489.30	$1,651.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $932.77 / $1,293.33 / $2,098.61	Facility		$932.77	$1,293.33	$2,098.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $971.52 / $1,310.20 / $1,986.85	Professional		$971.52	$1,310.20	$1,986.85
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 $741.14 / $994.99 / $1,647.21	Professional		$741.14	$994.99	$1,647.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $804.46 / $913.85 / $1,267.97	Professional		$804.46	$913.85	$1,267.97