Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,570.00 / $10,234.00	Facility		$969.00	$3,570.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,799.29 / $2,059.58 / $2,462.98	Professional		$1,799.29	$2,059.58	$2,462.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,708.29 / $1,708.29 / $1,708.29	Facility		$1,708.29	$1,708.29	$1,708.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,899.39 / $2,511.86 / $3,855.46	Professional		$1,899.39	$2,511.86	$3,855.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $53,275.56	Facility		$55.00	$55.00	$53,275.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,716.00 / $24,716.00 / $24,716.00	Professional		$24,716.00	$24,716.00	$24,716.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,899.39 / $2,421.96 / $5,152.39	Facility		$1,899.39	$2,421.96	$5,152.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,309.41 / $2,664.71 / $3,108.82	Professional		$2,309.41	$2,664.71	$3,108.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,053.40 / $3,053.40 / $3,053.40	Professional		$3,053.40	$3,053.40	$3,053.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,899.39 / $2,455.69 / $5,152.39	Facility		$1,899.39	$2,455.69	$5,152.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,899.39 / $2,574.48 / $3,941.13	Professional		$1,899.39	$2,574.48	$3,941.13
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 $1,579.30 / $2,043.92 / $3,372.25	Professional		$1,579.30	$2,043.92	$3,372.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,516.16 / $1,734.59 / $2,375.03	Professional		$1,516.16	$1,734.59	$2,375.03