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 $1,241.41 / $1,393.40 / $2,058.26	Professional		$1,241.41	$1,393.40	$2,058.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,244.74 / $1,244.74 / $1,290.21	Facility		$1,244.74	$1,244.74	$1,290.21
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 $1,286.02 / $1,770.44 / $2,766.33	Professional		$1,286.02	$1,770.44	$2,766.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,211.36	Facility		$55.00	$55.00	$12,211.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,559.44 / $9,785.04 / $11,690.18	Professional		$9,559.44	$9,785.04	$11,690.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,286.41 / $1,572.56 / $2,759.35	Facility		$1,286.41	$1,572.56	$2,759.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,520.30 / $2,022.66 / $2,379.60	Professional		$1,520.30	$2,022.66	$2,379.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,616.10 / $3,426.10	Professional		$7.00	$1,616.10	$3,426.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,286.41 / $1,591.32 / $3,077.36	Facility		$1,286.41	$1,591.32	$3,077.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,332.20 / $1,876.17 / $3,376.44	Professional		$1,332.20	$1,876.17	$3,376.44
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 $1,084.82 / $1,494.36 / $2,333.44	Professional		$1,084.82	$1,494.36	$2,333.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,128.29 / $1,311.15 / $1,769.13	Professional		$1,128.29	$1,311.15	$1,769.13