Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.00 / $3,682.00 / $12,040.00	Facility		$993.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.36 / $1,101.83 / $1,453.92	Professional		$913.36	$1,101.83	$1,453.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $877.27 / $877.27 / $877.27	Facility		$877.27	$877.27	$877.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $962.15 / $1,259.46 / $1,898.58	Professional		$962.15	$1,259.46	$1,898.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,208.24 / $7,476.88 / $8,410.79	Professional		$7,208.24	$7,476.88	$8,410.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.32 / $1,239.72 / $2,092.50	Facility		$954.32	$1,239.72	$2,092.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.78 / $1,486.20 / $1,748.47	Professional		$1,262.78	$1,486.20	$1,748.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $891.89 / $1,027.28 / $1,162.86	Professional		$891.89	$1,027.28	$1,162.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.32 / $1,259.78 / $2,478.46	Facility		$954.32	$1,259.78	$2,478.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $971.41 / $1,281.60 / $2,116.08	Professional		$971.41	$1,281.60	$2,116.08
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 $748.41 / $1,039.81 / $1,696.40	Professional		$748.41	$1,039.81	$1,696.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $829.04 / $938.01 / $1,312.96	Professional		$829.04	$938.01	$1,312.96