Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $4,028.00 / $9,825.00	Facility		$921.00	$4,028.00	$9,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.40 / $440.64 / $693.13	Professional		$373.40	$440.64	$693.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $349.10 / $349.10 / $349.10	Facility		$349.10	$349.10	$349.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.49 / $656.24 / $1,276.59	Professional		$406.49	$656.24	$1,276.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,505.44	Facility		$55.00	$55.00	$2,505.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,479.20 / $3,982.75 / $4,114.18	Professional		$3,479.20	$3,982.75	$4,114.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.91 / $724.41 / $1,234.24	Facility		$389.91	$724.41	$1,234.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $482.74 / $557.01 / $649.85	Professional		$482.74	$557.01	$649.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $436.30 / $436.30 / $459.68	Professional		$436.30	$436.30	$459.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.23 / $753.16 / $1,234.24	Facility		$398.23	$753.16	$1,234.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $406.49 / $656.24 / $1,175.23	Professional		$406.49	$656.24	$1,175.23
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 $360.14 / $591.20 / $1,014.93	Professional		$360.14	$591.20	$1,014.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.93 / $364.72 / $494.88	Professional		$316.93	$364.72	$494.88