Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,981.07 / $14,454.40	Facility		$1,174.90	$3,981.07	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,754.23	Professional		$1,412.54	$1,659.59	$2,754.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,412.54 / $1,445.44	Facility		$79.43	$1,412.54	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $3,311.31	Professional		$1,548.82	$2,137.96	$3,311.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,882.50	Facility		$54.95	$56.23	$12,882.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $13,803.84 / $13,803.84	Professional		$11,748.98	$13,803.84	$13,803.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $4,897.79	Facility		$1,412.54	$2,089.30	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,570.40	Professional		$1,412.54	$1,949.84	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $204.17 / $1,348.96	Professional		$32.36	$204.17	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $3,388.44	Facility		$1,479.11	$2,041.74	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $3,311.31	Professional		$1,479.11	$2,137.96	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,964.78 / $23,442.29	Facility		$4,570.88	$10,964.78	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,630.27	Professional		$1,288.25	$1,737.80	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $1,513.56	Professional		$1,380.38	$1,513.56	$1,513.56