Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,570.00 / $10,893.00	Facility		$803.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.29 / $584.24 / $972.39	Professional		$488.29	$584.24	$972.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $536.25 / $542.28	Facility		$80.00	$536.25	$542.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.16 / $659.16 / $659.16	Facility		$659.16	$659.16	$659.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.36 / $757.85 / $1,165.67	Professional		$540.36	$757.85	$1,165.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,174.71 / $11,500.00 / $26,542.00	Facility		$2,174.71	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,206.08 / $4,284.32 / $5,011.80	Professional		$4,206.08	$4,284.32	$5,011.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $547.67 / $682.13 / $1,063.10	Facility		$547.67	$682.13	$1,063.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $716.48 / $859.77 / $1,066.10	Professional		$716.48	$859.77	$1,066.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $626.29 / $626.29 / $626.29	Professional		$626.29	$626.29	$626.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $547.67 / $693.11 / $1,088.18	Facility		$547.67	$693.11	$1,088.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $553.87 / $784.30 / $1,200.00	Professional		$553.87	$784.30	$1,200.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $5,143.00 / $10,476.00	Facility		$1,693.00	$5,143.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.44 / $620.63 / $957.41	Professional		$450.44	$620.63	$957.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.19 / $553.87 / $772.12	Professional		$489.19	$553.87	$772.12