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 $1,282.60 / $1,444.44 / $2,162.01	Professional		$1,282.60	$1,444.44	$2,162.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,276.99 / $1,276.99 / $1,326.69	Facility		$1,276.99	$1,276.99	$1,326.69
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 $1,331.36 / $1,829.73 / $2,864.10	Professional		$1,331.36	$1,829.73	$2,864.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,590.24	Facility		$55.00	$55.00	$12,590.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,857.60 / $10,079.76 / $12,060.75	Professional		$9,857.60	$10,079.76	$12,060.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,326.21 / $1,644.93 / $2,847.63	Facility		$1,326.21	$1,644.93	$2,847.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,568.29 / $2,086.51 / $2,454.71	Professional		$1,568.29	$2,086.51	$2,454.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,685.30 / $3,512.80	Professional		$7.00	$1,685.30	$3,512.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,327.05 / $1,661.87 / $3,172.78	Facility		$1,327.05	$1,661.87	$3,172.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,374.40 / $1,946.09 / $3,480.19	Professional		$1,374.40	$1,946.09	$3,480.19
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 $1,122.09 / $1,526.53 / $2,404.51	Professional		$1,122.09	$1,526.53	$2,404.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,163.90 / $1,352.36 / $1,824.27	Professional		$1,163.90	$1,352.36	$1,824.27