Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.74 / $3,596.00 / $10,836.00	Facility		$947.74	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.74 / $1,093.36 / $1,330.56	Professional		$947.74	$1,093.36	$1,330.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $887.00 / $887.00 / $887.00	Facility		$887.00	$887.00	$887.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.91 / $1,366.71 / $2,098.07	Professional		$1,014.91	$1,366.71	$2,098.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,932.91	Facility		$55.00	$55.00	$11,932.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,574.00 / $10,574.00 / $10,574.00	Professional		$10,574.00	$10,574.00	$10,574.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,013.34 / $1,342.24 / $2,612.67	Facility		$1,013.34	$1,342.24	$2,612.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,225.34 / $1,413.87 / $1,649.52	Professional		$1,225.34	$1,413.87	$1,649.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,536.30 / $1,536.30 / $1,536.30	Professional		$1,536.30	$1,536.30	$1,536.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,013.34 / $1,345.88 / $2,690.07	Facility		$1,013.34	$1,345.88	$2,690.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,013.34 / $1,377.25 / $2,380.05	Professional		$1,013.34	$1,377.25	$2,380.05
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 $840.42 / $1,135.77 / $1,802.99	Professional		$840.42	$1,135.77	$1,802.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $804.46 / $922.77 / $1,258.24	Professional		$804.46	$922.77	$1,258.24