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 $2,007.71 / $2,406.16 / $2,892.02	Professional		$2,007.71	$2,406.16	$2,892.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,940.35 / $1,940.35 / $1,940.35	Facility		$1,940.35	$1,940.35	$1,940.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,839.05 / $2,621.98 / $3,832.75	Professional		$1,839.05	$2,621.98	$3,832.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $38,556.64	Facility		$55.00	$55.00	$38,556.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,095.60 / $15,445.92 / $18,490.65	Professional		$15,095.60	$15,445.92	$18,490.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,775.81 / $2,444.92 / $4,766.07	Facility		$1,775.81	$2,444.92	$4,766.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,716.88 / $3,134.87 / $3,657.34	Professional		$2,716.88	$3,134.87	$3,657.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,082.10 / $2,082.10 / $2,082.10	Professional		$2,082.10	$2,082.10	$2,082.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,775.81 / $2,456.50 / $4,887.79	Facility		$1,775.81	$2,456.50	$4,887.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,906.47 / $2,737.76 / $4,400.20	Professional		$1,906.47	$2,737.76	$4,400.20
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 $1,678.86 / $2,193.71 / $3,620.18	Professional		$1,678.86	$2,193.71	$3,620.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,783.68 / $2,037.43 / $2,794.05	Professional		$1,783.68	$2,037.43	$2,794.05