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 $1,510.45 / $1,729.87 / $2,067.08	Professional		$1,510.45	$1,729.87	$2,067.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,441.94 / $1,441.94 / $1,441.94	Facility		$1,441.94	$1,441.94	$1,441.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,580.53 / $2,071.89 / $3,262.86	Professional		$1,580.53	$2,071.89	$3,262.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $27,425.60	Facility		$55.00	$55.00	$27,425.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,147.11 / $12,632.99 / $13,052.33	Professional		$12,147.11	$12,632.99	$13,052.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,510.45 / $1,890.50 / $3,477.10	Facility		$1,510.45	$1,890.50	$3,477.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,928.85 / $2,225.60 / $2,596.53	Professional		$1,928.85	$2,225.60	$2,596.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,833.90 / $1,833.90 / $1,833.90	Professional		$1,833.90	$1,833.90	$1,833.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,510.45 / $1,892.46 / $3,912.08	Facility		$1,510.45	$1,892.46	$3,912.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,583.50 / $2,113.39 / $3,553.27	Professional		$1,583.50	$2,113.39	$3,553.27
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,547.00 / $9,000.00	Facility		$495.00	$2,547.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,303.26 / $1,722.15 / $2,724.11	Professional		$1,303.26	$1,722.15	$2,724.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,266.32 / $1,450.24 / $1,985.18	Professional		$1,266.32	$1,450.24	$1,985.18