Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.00 / $3,224.00 / $11,453.00	Facility		$759.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.86 / $612.10 / $1,000.76	Professional		$535.86	$612.10	$1,000.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $555.59 / $563.34	Facility		$80.00	$555.59	$563.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.42 / $687.42 / $687.42	Facility		$687.42	$687.42	$687.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.66 / $794.11 / $1,179.50	Professional		$577.66	$794.11	$1,179.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,269.19 / $11,500.00 / $26,542.00	Facility		$2,269.19	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,386.00 / $4,470.72 / $5,226.00	Professional		$4,386.00	$4,470.72	$5,226.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $553.74 / $696.72 / $1,090.85	Facility		$553.74	$696.72	$1,090.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $747.20 / $896.64 / $1,111.83	Professional		$747.20	$896.64	$1,111.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $991.53 / $1,156.06 / $2,274.25	Professional		$991.53	$1,156.06	$2,274.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $555.28 / $700.54 / $1,142.69	Facility		$555.28	$700.54	$1,142.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $583.52 / $811.29 / $1,243.32	Professional		$583.52	$811.29	$1,243.32
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $469.31 / $628.85 / $984.29	Professional		$469.31	$628.85	$984.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $510.17 / $578.23 / $804.91	Professional		$510.17	$578.23	$804.91