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 $1,669.38 / $1,909.45 / $2,285.86	Professional		$1,669.38	$1,909.45	$2,285.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,590.12 / $1,590.12 / $1,590.12	Facility		$1,590.12	$1,590.12	$1,590.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,761.16 / $2,290.14 / $3,723.00	Professional		$1,761.16	$2,290.14	$3,723.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $49,449.14	Facility		$55.00	$55.00	$49,449.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,432.00 / $19,432.00 / $19,432.00	Professional		$19,432.00	$19,432.00	$19,432.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,761.16 / $2,174.54 / $4,392.00	Facility		$1,761.16	$2,174.54	$4,392.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,142.89 / $2,472.57 / $2,884.67	Professional		$2,142.89	$2,472.57	$2,884.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,955.60 / $2,955.60 / $2,955.60	Professional		$2,955.60	$2,955.60	$2,955.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,761.16 / $2,275.56 / $4,448.21	Facility		$1,761.16	$2,275.56	$4,448.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,761.16 / $2,369.59 / $3,805.71	Professional		$1,761.16	$2,369.59	$3,805.71
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 $1,434.92 / $1,887.13 / $3,124.54	Professional		$1,434.92	$1,887.13	$3,124.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,406.84 / $1,609.01 / $2,204.23	Professional		$1,406.84	$1,609.01	$2,204.23