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 $1,984.74 / $2,353.65 / $2,853.26	Professional		$1,984.74	$2,353.65	$2,853.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,916.45 / $1,916.45 / $1,916.45	Facility		$1,916.45	$1,916.45	$1,916.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,814.26 / $2,577.82 / $3,783.81	Professional		$1,814.26	$2,577.82	$3,783.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $38,062.24	Facility		$55.00	$55.00	$38,062.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,902.16 / $15,249.36 / $18,252.68	Professional		$14,902.16	$15,249.36	$18,252.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,743.11 / $2,413.46 / $4,707.35	Facility		$1,743.11	$2,413.46	$4,707.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,681.98 / $3,094.59 / $3,610.36	Professional		$2,681.98	$3,094.59	$3,610.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.20 / $2,041.20 / $2,041.20	Professional		$2,041.20	$2,041.20	$2,041.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,743.11 / $2,423.65 / $4,827.58	Facility		$1,743.11	$2,423.65	$4,827.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,882.34 / $2,703.55 / $4,366.00	Professional		$1,882.34	$2,703.55	$4,366.00
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 $1,661.58 / $2,164.77 / $3,608.59	Professional		$1,661.58	$2,164.77	$3,608.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,760.76 / $2,011.22 / $2,758.21	Professional		$1,760.76	$2,011.22	$2,758.21