Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $12,882.50	Facility		$1,096.48	$3,890.45	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,621.81	Professional		$891.25	$1,096.48	$1,621.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,995.26	Professional		$912.01	$1,258.93	$1,995.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $42,657.95 / $42,657.95	Facility		$16,595.87	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $8,317.64 / $8,317.64	Professional		$7,244.36	$8,317.64	$8,317.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,479.11 / $5,495.41	Facility		$933.25	$1,479.11	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,659.59	Professional		$977.24	$1,230.27	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $134.90	Professional		$32.36	$33.11	$134.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,698.24 / $2,630.27	Professional		$5.01	$1,698.24	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,187.76	Facility		$912.01	$1,258.93	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,041.74	Professional		$891.25	$1,258.93	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,760.83 / $13,803.84	Facility		$2,187.76	$6,760.83	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,621.81	Professional		$758.58	$1,047.13	$1,621.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $933.25	Professional		$870.96	$933.25	$933.25