Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,673.00 / $7,495.00	Facility		$803.00	$2,673.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.88 / $1,921.90 / $2,520.81	Professional		$1,608.88	$1,921.90	$2,520.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,545.56 / $1,545.56 / $1,545.56	Facility		$1,545.56	$1,545.56	$1,545.56
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 $1,717.03 / $2,285.06 / $3,502.51	Professional		$1,717.03	$2,285.06	$3,502.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,394.00 / $16,547.20	Facility		$11,500.00	$16,394.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,438.72 / $12,841.28 / $14,537.78	Professional		$12,438.72	$12,841.28	$14,537.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,641.43 / $2,108.00 / $3,819.37	Facility		$1,641.43	$2,108.00	$3,819.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,180.32 / $2,566.07 / $3,018.91	Professional		$2,180.32	$2,566.07	$3,018.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,847.80 / $1,847.80 / $1,847.80	Professional		$1,847.80	$1,847.80	$1,847.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,622.35 / $2,178.32 / $4,124.97	Facility		$1,622.35	$2,178.32	$4,124.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,742.02 / $2,321.62 / $3,685.02	Professional		$1,742.02	$2,321.62	$3,685.02
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 $1,412.70 / $1,912.90 / $2,981.62	Professional		$1,412.70	$1,912.90	$2,981.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,431.41 / $1,615.23 / $2,268.73	Professional		$1,431.41	$1,615.23	$2,268.73