Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,570.00 / $13,004.00	Facility		$945.00	$3,570.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,943.31 / $2,321.62	Professional		$1,698.24	$1,943.31	$2,321.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,629.03 / $1,629.03 / $1,629.03	Facility		$1,629.03	$1,629.03	$1,629.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.76 / $2,323.69 / $3,656.55	Professional		$1,778.76	$2,323.69	$3,656.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $40,493.67	Facility		$55.00	$55.00	$40,493.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,307.00 / $21,307.00 / $21,307.00	Professional		$21,307.00	$21,307.00	$21,307.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.76 / $2,218.94 / $4,820.28	Facility		$1,778.76	$2,218.94	$4,820.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,168.96 / $2,502.65 / $2,919.75	Professional		$2,168.96	$2,502.65	$2,919.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,064.80 / $3,064.80 / $3,064.80	Professional		$3,064.80	$3,064.80	$3,064.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.76 / $2,337.02 / $4,820.28	Facility		$1,778.76	$2,337.02	$4,820.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.76 / $2,397.46 / $3,960.94	Professional		$1,778.76	$2,397.46	$3,960.94
United Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $2,547.00 / $9,187.00	Facility		$448.00	$2,547.00	$9,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,461.49 / $1,985.72 / $3,094.56	Professional		$1,461.49	$1,985.72	$3,094.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,423.95 / $1,629.93 / $2,232.92	Professional		$1,423.95	$1,629.93	$2,232.92