Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,596.00 / $10,836.00	Facility		$895.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.76 / $989.54 / $1,183.88	Professional		$858.76	$989.54	$1,183.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $804.35 / $804.35 / $804.35	Facility		$804.35	$804.35	$804.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $917.98 / $1,226.08 / $1,902.99	Professional		$917.98	$1,226.08	$1,902.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,856.55	Facility		$55.00	$55.00	$13,856.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,176.72 / $6,327.20 / $7,556.70	Professional		$6,176.72	$6,327.20	$7,556.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $917.98 / $1,178.97 / $1,970.98	Facility		$917.98	$1,178.97	$1,970.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,111.40 / $1,282.38 / $1,538.86	Professional		$1,111.40	$1,282.38	$1,538.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $894.81 / $1,342.21 / $1,915.76	Professional		$894.81	$1,342.21	$1,915.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $917.98 / $1,193.36 / $2,242.21	Facility		$917.98	$1,193.36	$2,242.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $917.98 / $1,248.03 / $2,135.67	Professional		$917.98	$1,248.03	$2,135.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $772.57 / $1,030.08 / $1,621.92	Professional		$772.57	$1,030.08	$1,621.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $729.65 / $836.40 / $1,141.59	Professional		$729.65	$836.40	$1,141.59