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 / $10,893.00	Facility		$969.00	$3,596.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,295.28 / $1,481.78 / $1,769.88	Professional		$1,295.28	$1,481.78	$1,769.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,229.76 / $1,229.76 / $1,229.76	Facility		$1,229.76	$1,229.76	$1,229.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,364.12 / $1,840.52 / $3,003.03	Professional		$1,364.12	$1,840.52	$3,003.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $23,560.32	Facility		$55.00	$55.00	$23,560.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,886.00 / $9,886.00 / $11,268.08	Professional		$9,886.00	$9,886.00	$11,268.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,364.12 / $1,782.74 / $2,955.26	Facility		$1,364.12	$1,782.74	$2,955.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.31 / $1,914.59 / $2,233.67	Professional		$1,659.31	$1,914.59	$2,233.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,555.60 / $2,555.60 / $2,555.60	Professional		$2,555.60	$2,555.60	$2,555.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,364.12 / $1,785.26 / $3,364.61	Facility		$1,364.12	$1,785.26	$3,364.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,364.12 / $1,854.30 / $3,022.21	Professional		$1,364.12	$1,854.30	$3,022.21
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 $1,126.24 / $1,478.77 / $2,332.83	Professional		$1,126.24	$1,478.77	$2,332.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,089.35 / $1,246.08 / $1,706.67	Professional		$1,089.35	$1,246.08	$1,706.67