Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $3,620.00 / $12,040.00	Facility		$828.00	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.25 / $542.22 / $650.85	Professional		$473.25	$542.22	$650.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $464.59 / $464.59 / $464.59	Facility		$464.59	$464.59	$464.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,267.02 / $3,267.02 / $3,267.02	Facility		$3,267.02	$3,267.02	$3,267.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.87 / $627.42 / $910.12	Professional		$499.87	$627.42	$910.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,387.04 / $7,387.04 / $7,387.04	Professional		$7,387.04	$7,387.04	$7,387.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $487.25 / $618.33 / $1,355.02	Facility		$487.25	$618.33	$1,355.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $608.89 / $702.57 / $843.08	Professional		$608.89	$702.57	$843.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $656.70 / $656.70 / $656.70	Professional		$656.70	$656.70	$656.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $487.25 / $635.89 / $1,550.00	Facility		$487.25	$635.89	$1,550.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $499.87 / $657.29 / $1,038.30	Professional		$499.87	$657.29	$1,038.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,476.00	Facility		$1,634.00	$4,345.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $400.16 / $527.14 / $827.22	Professional		$400.16	$527.14	$827.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $399.75 / $455.32 / $627.60	Professional		$399.75	$455.32	$627.60