Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,504.00 / $10,836.00	Facility		$935.00	$3,504.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,278.59 / $1,441.29 / $2,171.85	Professional		$1,278.59	$1,441.29	$2,171.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,306.75 / $1,306.75 / $1,355.02	Facility		$1,306.75	$1,306.75	$1,355.02
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 $1,367.98 / $1,867.57 / $2,881.39	Professional		$1,367.98	$1,867.57	$2,881.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $24,923.36	Facility		$55.00	$55.00	$24,923.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,130.10 / $11,130.10 / $11,912.55	Professional		$11,130.10	$11,130.10	$11,912.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,328.04 / $1,707.21 / $3,014.17	Facility		$1,328.04	$1,707.21	$3,014.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,551.93 / $2,064.73 / $2,429.10	Professional		$1,551.93	$2,064.73	$2,429.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,761.40 / $3,463.20	Professional		$15.00	$1,761.40	$3,463.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,329.64 / $1,722.18 / $3,175.12	Facility		$1,329.64	$1,722.18	$3,175.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,429.18 / $1,984.88 / $3,451.14	Professional		$1,429.18	$1,984.88	$3,451.14
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 $1,170.17 / $1,538.74 / $2,455.17	Professional		$1,170.17	$1,538.74	$2,455.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,151.76 / $1,338.57 / $1,805.14	Professional		$1,151.76	$1,338.57	$1,805.14