Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.97 / $3,682.00 / $12,281.00	Facility		$968.97	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.11 / $1,181.33 / $1,994.29	Professional		$976.11	$1,181.33	$1,994.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,034.08 / $1,058.58	Facility		$80.00	$1,034.08	$1,058.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.04 / $1,324.04 / $1,324.04	Facility		$1,324.04	$1,324.04	$1,324.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.03 / $1,555.99 / $2,394.53	Professional		$1,086.03	$1,555.99	$2,394.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,821.46	Facility		$55.00	$55.00	$5,821.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,412.64 / $8,583.92 / $10,028.48	Professional		$8,412.64	$8,583.92	$10,028.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,138.52 / $1,530.54 / $2,347.59	Facility		$1,138.52	$1,530.54	$2,347.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,434.16 / $1,721.00 / $2,134.03	Professional		$1,434.16	$1,721.00	$2,134.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,872.71 / $2,161.19 / $4,360.53	Professional		$1,872.71	$2,161.19	$4,360.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,138.52 / $1,533.37 / $2,495.96	Facility		$1,138.52	$1,533.37	$2,495.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,114.13 / $1,612.23 / $2,427.89	Professional		$1,114.13	$1,612.23	$2,427.89
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 $914.40 / $1,219.47 / $1,943.17	Professional		$914.40	$1,219.47	$1,943.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $979.21 / $1,114.13 / $1,542.54	Professional		$979.21	$1,114.13	$1,542.54