Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.77 / $837.45 / $1,393.08	Professional		$733.77	$837.45	$1,393.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $748.55 / $762.50	Facility		$80.00	$748.55	$762.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $938.52 / $938.52 / $938.52	Facility		$938.52	$938.52	$938.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.53 / $1,096.59 / $1,663.88	Professional		$800.53	$1,096.59	$1,663.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,876.40 / $26,542.00 / $37,623.85	Facility		$3,876.40	$26,542.00	$37,623.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,019.94 / $6,102.08 / $7,134.60	Professional		$6,019.94	$6,102.08	$7,134.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $790.91 / $975.15 / $1,567.73	Facility		$790.91	$975.15	$1,567.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,020.13 / $1,224.15 / $1,517.95	Professional		$1,020.13	$1,224.15	$1,517.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $797.26 / $1,134.79 / $2,966.81	Professional		$797.26	$1,134.79	$2,966.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $790.91 / $987.62 / $1,666.80	Facility		$790.91	$987.62	$1,666.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $835.12 / $1,127.65 / $1,717.17	Professional		$835.12	$1,127.65	$1,717.17
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 $644.20 / $887.51 / $1,367.28	Professional		$644.20	$887.51	$1,367.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $696.52 / $790.91 / $1,098.06	Professional		$696.52	$790.91	$1,098.06