Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,682.00 / $12,377.00	Facility		$983.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $997.53 / $1,138.49 / $1,934.28	Professional		$997.53	$1,138.49	$1,934.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,001.75 / $1,023.73	Facility		$80.00	$1,001.75	$1,023.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.64 / $1,273.64 / $1,273.64	Facility		$1,273.64	$1,273.64	$1,273.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.36 / $1,518.02 / $2,302.06	Professional		$1,127.36	$1,518.02	$2,302.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,201.72 / $11,817.20 / $26,542.00	Facility		$4,201.72	$11,817.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,198.03 / $8,271.92 / $9,659.18	Professional		$8,198.03	$8,271.92	$9,659.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,095.20 / $1,501.15 / $2,306.00	Facility		$1,095.20	$1,501.15	$2,306.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,381.20 / $1,657.44 / $2,055.23	Professional		$1,381.20	$1,657.44	$2,055.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,538.77 / $1,875.45 / $1,952.78	Professional		$1,538.77	$1,875.45	$1,952.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,095.20 / $1,505.73 / $2,312.84	Facility		$1,095.20	$1,505.73	$2,312.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,146.64 / $1,577.91 / $2,334.44	Professional		$1,146.64	$1,577.91	$2,334.44
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 $918.21 / $1,228.32 / $1,939.96	Professional		$918.21	$1,228.32	$1,939.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $943.05 / $1,072.25 / $1,485.93	Professional		$943.05	$1,072.25	$1,485.93