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 $1,151.46 / $1,314.84 / $1,578.40	Professional		$1,151.46	$1,314.84	$1,578.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,105.06 / $1,105.06 / $1,105.06	Facility		$1,105.06	$1,105.06	$1,105.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,213.10 / $1,605.39 / $2,502.44	Professional		$1,213.10	$1,605.39	$2,502.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $21,016.48	Facility		$55.00	$55.00	$21,016.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,932.00 / $11,932.00 / $11,932.00	Professional		$11,932.00	$11,932.00	$11,932.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,213.10 / $1,530.34 / $2,710.50	Facility		$1,213.10	$1,530.34	$2,710.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,478.92 / $1,706.45 / $2,047.73	Professional		$1,478.92	$1,706.45	$2,047.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,116.19 / $2,116.19 / $2,116.19	Professional		$2,116.19	$2,116.19	$2,116.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,213.10 / $1,562.95 / $2,989.62	Facility		$1,213.10	$1,562.95	$2,989.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,213.10 / $1,627.70 / $2,621.82	Professional		$1,213.10	$1,627.70	$2,621.82
United Facility/Professional Facility Modifier Low / Median / High Price $5,442.00 / $9,916.00 / $25,304.00	Facility		$5,442.00	$9,916.00	$25,304.00
United Facility/Professional Professional Modifier Low / Median / High Price $985.68 / $1,334.78 / $2,094.57	Professional		$985.68	$1,334.78	$2,094.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $970.93 / $1,109.29 / $1,522.03	Professional		$970.93	$1,109.29	$1,522.03