Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $3,682.00 / $12,480.00	Facility		$1,086.00	$3,682.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,177.04 / $3,798.62 / $6,248.52	Professional		$3,177.04	$3,798.62	$6,248.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $3,344.23 / $3,425.35	Facility		$80.00	$3,344.23	$3,425.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,298.76 / $4,298.76 / $4,298.76	Facility		$4,298.76	$4,298.76	$4,298.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,515.96 / $4,858.34 / $7,097.69	Professional		$3,515.96	$4,858.34	$7,097.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $30,201.78	Facility		$55.00	$55.00	$30,201.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,182.56 / $27,856.56 / $32,413.43	Professional		$27,182.56	$27,856.56	$32,413.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,601.22 / $4,573.10 / $7,125.49	Facility		$3,601.22	$4,573.10	$7,125.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,349.34 / $5,294.85 / $6,896.66	Professional		$4,349.34	$5,294.85	$6,896.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,671.30 / $4,671.30 / $4,671.30	Professional		$4,671.30	$4,671.30	$4,671.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,601.22 / $4,578.67 / $7,438.31	Facility		$3,601.22	$4,578.67	$7,438.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,601.22 / $5,077.91 / $7,813.25	Professional		$3,601.22	$5,077.91	$7,813.25
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 $2,927.87 / $3,936.70 / $6,331.42	Professional		$2,927.87	$3,936.70	$6,331.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,164.56 / $3,601.22 / $4,984.50	Professional		$3,164.56	$3,601.22	$4,984.50