Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $10,836.00	Facility		$969.00	$3,682.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,216.84 / $2,665.46 / $3,503.36	Professional		$2,216.84	$2,665.46	$3,503.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,070.17 / $2,070.17 / $2,070.17	Facility		$2,070.17	$2,070.17	$2,070.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,441.05 / $3,234.73 / $5,015.30	Professional		$2,441.05	$3,234.73	$5,015.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $30,035.17	Facility		$55.00	$55.00	$30,035.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,313.28 / $17,816.08 / $20,117.78	Professional		$17,313.28	$17,816.08	$20,117.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,323.67 / $2,985.58 / $5,365.78	Facility		$2,323.67	$2,985.58	$5,365.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,562.19 / $3,563.78 / $4,192.68	Professional		$2,562.19	$3,563.78	$4,192.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,040.60 / $3,040.60 / $3,040.60	Professional		$3,040.60	$3,040.60	$3,040.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,321.63 / $3,020.78 / $5,950.58	Facility		$2,321.63	$3,020.78	$5,950.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,441.05 / $3,283.89 / $5,077.51	Professional		$2,441.05	$3,283.89	$5,077.51
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,981.54 / $2,657.58 / $4,261.53	Professional		$1,981.54	$2,657.58	$4,261.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,987.96 / $2,260.23 / $3,144.51	Professional		$1,987.96	$2,260.23	$3,144.51