Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,039.00 / $11,949.00	Facility		$1,000.00	$4,039.00	$11,949.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.25 / $810.84 / $1,220.75	Professional		$710.25	$810.84	$1,220.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $718.02 / $718.02 / $743.73	Facility		$718.02	$718.02	$743.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $885.05 / $2,024.00 / $4,619.00	Facility		$885.05	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.56 / $1,037.78 / $1,604.32	Professional		$743.56	$1,037.78	$1,604.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,026.32 / $10,160.00	Facility		$55.00	$7,026.32	$10,160.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,500.88 / $5,623.04 / $6,722.93	Professional		$5,500.88	$5,623.04	$6,722.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $739.85 / $940.19 / $1,670.41	Facility		$739.85	$940.19	$1,670.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $874.54 / $1,163.52 / $1,368.85	Professional		$874.54	$1,163.52	$1,368.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $737.15 / $942.45 / $1,566.50	Professional		$737.15	$942.45	$1,566.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $744.09 / $953.94 / $1,759.61	Facility		$744.09	$953.94	$1,759.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.05 / $1,080.80 / $1,939.71	Professional		$776.05	$1,080.80	$1,939.71
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,792.00	Facility		$385.00	$1,970.00	$8,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.59 / $851.42 / $1,338.05	Professional		$628.59	$851.42	$1,338.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $649.04 / $754.29 / $1,017.85	Professional		$649.04	$754.29	$1,017.85