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 $1,396.60 / $1,583.42 / $2,296.67	Professional		$1,396.60	$1,583.42	$2,296.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,424.96 / $1,424.96 / $1,472.93	Facility		$1,424.96	$1,424.96	$1,472.93
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 $1,390.42 / $1,960.54 / $3,058.09	Professional		$1,390.42	$1,960.54	$3,058.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,125.12	Facility		$55.00	$55.00	$12,125.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,848.56 / $11,094.64 / $13,247.03	Professional		$10,848.56	$11,094.64	$13,247.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,415.03 / $1,748.33 / $3,105.96	Facility		$1,415.03	$1,748.33	$3,105.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,723.78 / $2,293.38 / $2,698.09	Professional		$1,723.78	$2,293.38	$2,698.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,602.50 / $3,904.40	Professional		$6.00	$1,602.50	$3,904.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,421.57 / $1,754.46 / $3,475.43	Facility		$1,421.57	$1,754.46	$3,475.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,465.90 / $2,084.25 / $3,825.47	Professional		$1,465.90	$2,084.25	$3,825.47
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 $1,201.19 / $1,630.14 / $2,587.36	Professional		$1,201.19	$1,630.14	$2,587.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,279.30 / $1,487.01 / $2,007.05	Professional		$1,279.30	$1,487.01	$2,007.05