Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,620.00 / $12,040.00	Facility		$882.00	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.61 / $638.37 / $955.69	Professional		$565.61	$638.37	$955.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $524.64 / $524.64 / $529.39	Facility		$524.64	$524.64	$529.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,508.82 / $2,001.65 / $3,125.00	Facility		$1,508.82	$2,001.65	$3,125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.25 / $816.90 / $1,287.10	Professional		$579.25	$816.90	$1,287.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $11,500.00 / $26,542.00	Facility		$7,909.30	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,901.04 / $5,901.04 / $5,901.04	Professional		$5,901.04	$5,901.04	$5,901.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $593.58 / $767.83 / $1,409.94	Facility		$593.58	$767.83	$1,409.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $682.59 / $908.15 / $1,104.02	Professional		$682.59	$908.15	$1,104.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $930.10 / $1,568.40	Professional		$5.00	$930.10	$1,568.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $595.38 / $771.71 / $1,693.45	Facility		$595.38	$771.71	$1,693.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $597.19 / $863.00 / $1,534.38	Professional		$597.19	$863.00	$1,534.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,483.00 / $13,237.00	Facility		$2,093.00	$5,483.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $506.70 / $679.79 / $1,072.42	Professional		$506.70	$679.79	$1,072.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $506.59 / $592.05 / $801.39	Professional		$506.59	$592.05	$801.39