Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.22 / $1,246.40 / $1,725.78	Professional		$1,143.22	$1,246.40	$1,725.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,041.09 / $1,041.09 / $1,041.09	Facility		$1,041.09	$1,041.09	$1,041.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.76 / $1,592.96 / $2,461.35	Professional		$1,206.76	$1,592.96	$2,461.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,762.64	Facility		$55.00	$55.00	$10,762.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,186.74 / $9,186.74 / $9,804.53	Professional		$9,186.74	$9,186.74	$9,804.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,166.08 / $1,550.09 / $2,621.38	Facility		$1,166.08	$1,550.09	$2,621.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,261.00 / $1,753.93 / $2,063.44	Professional		$1,261.00	$1,753.93	$2,063.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,722.00 / $1,722.00 / $1,722.00	Professional		$1,722.00	$1,722.00	$1,722.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,166.08 / $1,567.66 / $2,804.40	Facility		$1,166.08	$1,567.66	$2,804.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,206.76 / $1,625.42 / $2,676.44	Professional		$1,206.76	$1,625.42	$2,676.44
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,546.00 / $9,000.00	Facility		$495.00	$2,546.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $987.99 / $1,364.40 / $2,251.39	Professional		$987.99	$1,364.40	$2,251.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $978.38 / $1,121.24 / $1,547.19	Professional		$978.38	$1,121.24	$1,547.19