Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $10,836.00	Facility		$969.00	$3,682.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,045.10 / $3,572.32 / $4,269.60	Professional		$3,045.10	$3,572.32	$4,269.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,913.58 / $2,913.58 / $2,913.58	Facility		$2,913.58	$2,913.58	$2,913.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,293.25 / $4,328.02 / $6,721.49	Professional		$3,293.25	$4,328.02	$6,721.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $91,952.64	Facility		$55.00	$55.00	$91,952.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,198.08 / $22,773.84 / $27,118.95	Professional		$22,198.08	$22,773.84	$27,118.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,112.20 / $3,858.11 / $7,169.72	Facility		$3,112.20	$3,858.11	$7,169.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,002.82 / $3,002.82 / $3,002.82	Professional		$3,002.82	$3,002.82	$3,002.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,900.04 / $3,293.25 / $5,310.43	Professional		$2,900.04	$3,293.25	$5,310.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,112.20 / $3,898.90 / $7,352.83	Facility		$3,112.20	$3,898.90	$7,352.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,293.25 / $4,462.84 / $7,217.89	Professional		$3,293.25	$4,462.84	$7,217.89
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 $2,704.12 / $3,549.16 / $5,739.94	Professional		$2,704.12	$3,549.16	$5,739.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,620.16 / $3,002.82 / $4,100.72	Professional		$2,620.16	$3,002.82	$4,100.72