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 $1,523.30 / $1,759.39 / $2,113.94	Professional		$1,523.30	$1,759.39	$2,113.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,423.62 / $1,423.62 / $1,423.62	Facility		$1,423.62	$1,423.62	$1,423.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,633.02 / $2,182.65 / $3,319.51	Professional		$1,633.02	$2,182.65	$3,319.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $27,848.96	Facility		$55.00	$55.00	$27,848.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,924.80 / $11,205.20 / $13,392.83	Professional		$10,924.80	$11,205.20	$13,392.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,625.88 / $2,113.94 / $3,518.35	Facility		$1,625.88	$2,113.94	$3,518.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,968.38 / $2,271.21 / $2,649.75	Professional		$1,968.38	$2,271.21	$2,649.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,880.80 / $1,880.80 / $1,880.80	Professional		$1,880.80	$1,880.80	$1,880.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,625.88 / $2,132.48 / $3,987.59	Facility		$1,625.88	$2,132.48	$3,987.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,632.68 / $2,199.00 / $3,823.11	Professional		$1,632.68	$2,199.00	$3,823.11
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 $1,337.62 / $1,755.63 / $2,830.00	Professional		$1,337.62	$1,755.63	$2,830.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,292.27 / $1,484.56 / $2,019.55	Professional		$1,292.27	$1,484.56	$2,019.55