Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,765.31 / $2,130.30 / $2,785.69	Professional		$1,765.31	$2,130.30	$2,785.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,661.71 / $1,661.71 / $1,661.71	Facility		$1,661.71	$1,661.71	$1,661.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,918.19 / $2,544.60 / $3,956.38	Professional		$1,918.19	$2,544.60	$3,956.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $15,228.78	Facility		$55.00	$55.00	$15,228.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,781.84 / $14,180.56 / $16,034.70	Professional		$13,781.84	$14,180.56	$16,034.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,846.02 / $2,336.39 / $4,249.52	Facility		$1,846.02	$2,336.39	$4,249.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,040.58 / $2,838.26 / $3,339.13	Professional		$2,040.58	$2,838.26	$3,339.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,206.60 / $2,206.60 / $2,206.60	Professional		$2,206.60	$2,206.60	$2,206.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,836.25 / $2,339.13 / $4,614.57	Facility		$1,836.25	$2,339.13	$4,614.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,941.00 / $2,573.98 / $4,043.32	Professional		$1,941.00	$2,573.98	$4,043.32
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 $1,571.45 / $2,160.73 / $3,337.42	Professional		$1,571.45	$2,160.73	$3,337.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,583.25 / $1,797.22 / $2,505.40	Professional		$1,583.25	$1,797.22	$2,505.40