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 $1,265.55 / $1,462.53 / $1,748.37	Professional		$1,265.55	$1,462.53	$1,748.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,182.28 / $1,182.28 / $1,182.28	Facility		$1,182.28	$1,182.28	$1,182.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,355.92 / $1,786.75 / $2,803.22	Professional		$1,355.92	$1,786.75	$2,803.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $23,148.48	Facility		$55.00	$55.00	$23,148.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,574.00 / $10,574.00 / $11,129.18	Professional		$10,574.00	$10,574.00	$11,129.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,351.49 / $1,742.48 / $2,970.00	Facility		$1,351.49	$1,742.48	$2,970.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,635.76 / $1,887.42 / $2,201.98	Professional		$1,635.76	$1,887.42	$2,201.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,233.25 / $1,627.10 / $4,687.14	Professional		$1,233.25	$1,627.10	$4,687.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,351.49 / $1,762.70 / $3,313.12	Facility		$1,351.49	$1,762.70	$3,313.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,355.92 / $1,815.93 / $3,221.36	Professional		$1,355.92	$1,815.93	$3,221.36
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 $1,123.66 / $1,522.41 / $2,381.86	Professional		$1,123.66	$1,522.41	$2,381.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,073.90 / $1,233.25 / $1,678.58	Professional		$1,073.90	$1,233.25	$1,678.58