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 $1,001.05 / $1,155.78 / $1,381.36	Professional		$1,001.05	$1,155.78	$1,381.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $935.31 / $935.31 / $935.31	Facility		$935.31	$935.31	$935.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,072.14 / $1,400.53 / $2,109.69	Professional		$1,072.14	$1,400.53	$2,109.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,300.14	Facility		$55.00	$55.00	$10,300.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,728.00 / $9,728.00 / $9,728.00	Professional		$9,728.00	$9,728.00	$9,728.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.40 / $1,285.92 / $2,403.65	Facility		$1,023.40	$1,285.92	$2,403.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,293.47 / $1,492.47 / $1,741.22	Professional		$1,293.47	$1,492.47	$1,741.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.30 / $1,445.30 / $1,445.30	Professional		$1,445.30	$1,445.30	$1,445.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.40 / $1,311.54 / $2,613.87	Facility		$1,023.40	$1,311.54	$2,613.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.13 / $1,432.47 / $2,172.85	Professional		$1,071.13	$1,432.47	$2,172.85
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 $853.94 / $1,123.30 / $1,836.60	Professional		$853.94	$1,123.30	$1,836.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $849.19 / $974.67 / $1,327.68	Professional		$849.19	$974.67	$1,327.68