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 $2,229.17 / $2,559.12 / $3,058.89	Professional		$2,229.17	$2,559.12	$3,058.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,083.00 / $2,083.00 / $2,083.00	Facility		$2,083.00	$2,083.00	$2,083.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,358.40 / $3,101.92 / $4,829.76	Professional		$2,358.40	$3,101.92	$4,829.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $65,810.67	Facility		$55.00	$55.00	$65,810.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,682.00 / $30,682.00 / $30,682.00	Professional		$30,682.00	$30,682.00	$30,682.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,341.44 / $2,867.82 / $6,268.27	Facility		$2,341.44	$2,867.82	$6,268.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,856.91 / $3,296.43 / $3,845.84	Professional		$2,856.91	$3,296.43	$3,845.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,500.90 / $3,500.90 / $3,500.90	Professional		$3,500.90	$3,500.90	$3,500.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,341.44 / $2,912.13 / $6,327.28	Facility		$2,341.44	$2,912.13	$6,327.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,358.40 / $3,227.94 / $4,937.09	Professional		$2,358.40	$3,227.94	$4,937.09
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 $1,936.14 / $2,541.17 / $4,100.59	Professional		$1,936.14	$2,541.17	$4,100.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,875.60 / $2,149.86 / $2,935.10	Professional		$1,875.60	$2,149.86	$2,935.10