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 $1,560.34 / $1,802.48 / $2,157.39	Professional		$1,560.34	$1,802.48	$2,157.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,458.47 / $1,458.47 / $1,458.47	Facility		$1,458.47	$1,458.47	$1,458.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,673.22 / $2,203.30 / $3,401.98	Professional		$1,673.22	$2,203.30	$3,401.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $28,532.48	Facility		$55.00	$55.00	$28,532.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,193.12 / $11,481.28 / $13,721.78	Professional		$11,193.12	$11,481.28	$13,721.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,665.77 / $2,145.26 / $3,606.23	Facility		$1,665.77	$2,145.26	$3,606.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,016.74 / $2,327.01 / $2,714.85	Professional		$2,016.74	$2,327.01	$2,714.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,629.95 / $3,023.04 / $5,838.53	Professional		$2,629.95	$3,023.04	$5,838.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,665.77 / $2,180.14 / $4,088.85	Facility		$1,665.77	$2,180.14	$4,088.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,672.91 / $2,239.96 / $3,923.70	Professional		$1,672.91	$2,239.96	$3,923.70
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 $1,385.74 / $1,799.60 / $2,888.02	Professional		$1,385.74	$1,799.60	$2,888.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,324.02 / $1,521.10 / $2,069.13	Professional		$1,324.02	$1,521.10	$2,069.13