Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,620.00 / $12,040.00	Facility		$921.00	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.56 / $859.38 / $1,275.25	Professional		$761.56	$859.38	$1,275.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $702.59 / $702.59 / $710.29	Facility		$702.59	$702.59	$710.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $3,795.09 / $4,619.00	Facility		$2,500.00	$3,795.09	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.89 / $1,094.08 / $1,722.45	Professional		$778.89	$1,094.08	$1,722.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,547.20 / $26,542.00	Facility		$11,500.00	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,007.28 / $7,007.28 / $7,007.28	Professional		$7,007.28	$7,007.28	$7,007.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $796.28 / $1,032.73 / $1,830.62	Facility		$796.28	$1,032.73	$1,830.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $915.83 / $1,218.45 / $1,481.25	Professional		$915.83	$1,218.45	$1,481.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $1,193.59 / $2,103.10	Professional		$5.00	$1,193.59	$2,103.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $801.08 / $1,045.74 / $1,946.48	Facility		$801.08	$1,045.74	$1,946.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $802.65 / $1,148.51 / $2,052.94	Professional		$802.65	$1,148.51	$2,052.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,648.00 / $13,237.00	Facility		$2,093.00	$5,648.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $683.68 / $918.04 / $1,456.24	Professional		$683.68	$918.04	$1,456.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $679.68 / $794.41 / $1,074.98	Professional		$679.68	$794.41	$1,074.98