Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,162.28 / $7,943.28	Facility		$954.99	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,884.03	Professional		$1,548.82	$1,949.84	$2,884.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
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 $1,698.24 / $2,238.72 / $3,715.35	Professional		$1,698.24	$2,238.72	$3,715.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $28,840.32 / $28,840.32	Facility		$16,595.87	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $14,454.40 / $14,454.40	Professional		$12,302.69	$14,454.40	$14,454.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,290.87 / $4,786.30	Facility		$1,148.15	$2,290.87	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $2,884.03	Professional		$1,621.81	$2,137.96	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $3,548.13 / $4,570.88	Professional		$6.03	$3,548.13	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $3,981.07	Facility		$1,584.89	$2,187.76	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $3,630.78	Professional		$1,584.89	$2,238.72	$3,630.78
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 $1,412.54 / $1,905.46 / $2,951.21	Professional		$1,412.54	$1,905.46	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $1,621.81	Professional		$1,548.82	$1,621.81	$1,621.81