Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.41 / $3,682.00 / $10,836.00	Facility		$821.41	$3,682.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.39 / $816.25 / $982.49	Professional		$703.39	$816.25	$982.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $664.24 / $664.24 / $664.24	Facility		$664.24	$664.24	$664.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.72 / $1,020.73 / $1,631.50	Professional		$753.72	$1,020.73	$1,631.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,946.16	Facility		$55.00	$55.00	$16,946.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,079.04 / $5,204.96 / $6,156.98	Professional		$5,079.04	$5,204.96	$6,156.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $694.09 / $857.00 / $1,659.47	Facility		$694.09	$857.00	$1,659.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $909.55 / $1,049.48 / $1,224.39	Professional		$909.55	$1,049.48	$1,224.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.94 / $727.03 / $1,200.78	Professional		$660.94	$727.03	$1,200.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $694.09 / $861.96 / $1,698.61	Facility		$694.09	$861.96	$1,698.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $750.08 / $1,039.64 / $1,788.33	Professional		$750.08	$1,039.64	$1,788.33
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 $608.86 / $819.23 / $1,296.89	Professional		$608.86	$819.23	$1,296.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $597.13 / $685.60 / $934.98	Professional		$597.13	$685.60	$934.98