Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,682.00 / $12,826.00	Facility		$916.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.46 / $677.31 / $1,147.05	Professional		$593.46	$677.31	$1,147.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $604.85 / $616.30	Facility		$80.00	$604.85	$616.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $760.33 / $760.33 / $760.33	Facility		$760.33	$760.33	$760.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.09 / $872.17 / $1,360.02	Professional		$633.09	$872.17	$1,360.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,851.40	Facility		$55.00	$55.00	$3,851.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,992.93 / $4,992.93 / $5,779.05	Professional		$4,992.93	$4,992.93	$5,779.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.67 / $816.65 / $1,320.00	Facility		$645.67	$816.65	$1,320.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $826.45 / $991.74 / $1,229.76	Professional		$826.45	$991.74	$1,229.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $694.60 / $694.60 / $694.60	Professional		$694.60	$694.60	$694.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.67 / $823.19 / $1,348.56	Facility		$645.67	$823.19	$1,348.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $660.83 / $904.03 / $1,384.39	Professional		$660.83	$904.03	$1,384.39
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 $519.50 / $694.36 / $1,120.19	Professional		$519.50	$694.36	$1,120.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $564.28 / $640.80 / $889.61	Professional		$564.28	$640.80	$889.61