Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,570.00 / $10,893.00	Facility		$945.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.17 / $1,344.80 / $2,020.40	Professional		$1,192.17	$1,344.80	$2,020.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,228.54 / $1,228.54 / $1,270.46	Facility		$1,228.54	$1,228.54	$1,270.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,296.47 / $1,739.12 / $2,666.49	Professional		$1,296.47	$1,739.12	$2,666.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $23,291.36	Facility		$55.00	$55.00	$23,291.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,130.87 / $9,351.44 / $11,121.68	Professional		$9,130.87	$9,351.44	$11,121.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,244.99 / $1,596.31 / $2,737.47	Facility		$1,244.99	$1,596.31	$2,737.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,449.25 / $1,928.14 / $2,268.40	Professional		$1,449.25	$1,928.14	$2,268.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,032.20 / $3,238.00	Professional		$15.00	$2,032.20	$3,238.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,246.41 / $1,624.13 / $2,945.97	Facility		$1,246.41	$1,624.13	$2,945.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,342.18 / $1,845.90 / $3,220.40	Professional		$1,342.18	$1,845.90	$3,220.40
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,084.02 / $1,453.50 / $2,268.84	Professional		$1,084.02	$1,453.50	$2,268.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,075.56 / $1,250.26 / $1,686.60	Professional		$1,075.56	$1,250.26	$1,686.60