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 $1,614.01 / $1,863.58 / $2,232.04	Professional		$1,614.01	$1,863.58	$2,232.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,507.43 / $1,507.43 / $1,507.43	Facility		$1,507.43	$1,507.43	$1,507.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,730.18 / $2,321.56 / $3,844.99	Professional		$1,730.18	$2,321.56	$3,844.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $29,501.92	Facility		$55.00	$55.00	$29,501.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,573.76 / $11,870.56 / $14,187.68	Professional		$11,573.76	$11,870.56	$14,187.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,722.35 / $2,248.84 / $3,730.75	Facility		$1,722.35	$2,248.84	$3,730.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,085.28 / $2,406.09 / $2,807.11	Professional		$2,085.28	$2,406.09	$2,807.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,048.80 / $2,048.80 / $2,048.80	Professional		$2,048.80	$2,048.80	$2,048.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,722.35 / $2,288.01 / $4,228.72	Facility		$1,722.35	$2,288.01	$4,228.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,729.88 / $2,368.02 / $4,034.00	Professional		$1,729.88	$2,368.02	$4,034.00
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 $1,418.18 / $1,847.78 / $2,981.69	Professional		$1,418.18	$1,847.78	$2,981.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,369.02 / $1,572.89 / $2,139.41	Professional		$1,369.02	$1,572.89	$2,139.41