Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,890.45 / $12,882.50	Facility		$1,023.29	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,380.38	Professional		$741.31	$870.96	$1,380.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $741.31 / $758.58	Facility		$79.43	$741.31	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,737.80	Professional		$794.33	$1,096.48	$1,737.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $38,018.94 / $42,657.95 / $42,657.95	Facility		$38,018.94	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,079.46 / $7,079.46	Professional		$6,025.60	$7,079.46	$7,079.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $4,365.16	Facility		$776.25	$1,122.02	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,380.38	Professional		$741.31	$1,047.13	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $107.15 / $707.95	Professional		$32.36	$107.15	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,818.38 / $2,951.21	Professional		$1,047.13	$2,818.38	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,819.70	Facility		$776.25	$1,023.29	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,737.80	Professional		$758.58	$1,096.48	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $14,454.40	Facility		$2,187.76	$6,918.31	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,318.26	Professional		$645.65	$870.96	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33