Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.44 / $3,596.00 / $10,836.00	Facility		$920.44	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.28 / $999.74 / $1,384.21	Professional		$901.28	$999.74	$1,384.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $839.30 / $839.30 / $839.30	Facility		$839.30	$839.30	$839.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.74 / $1,276.54 / $1,974.42	Professional		$969.74	$1,276.54	$1,974.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,649.92	Facility		$55.00	$55.00	$8,649.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,127.82 / $7,127.82 / $7,882.88	Professional		$7,127.82	$7,127.82	$7,882.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $935.40 / $1,243.75 / $2,098.02	Facility		$935.40	$1,243.75	$2,098.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.35 / $1,409.48 / $1,658.21	Professional		$1,013.35	$1,409.48	$1,658.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.80 / $1,380.80 / $1,380.80	Professional		$1,380.80	$1,380.80	$1,380.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $935.40 / $1,254.73 / $2,282.98	Facility		$935.40	$1,254.73	$2,282.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $969.74 / $1,295.86 / $2,146.28	Professional		$969.74	$1,295.86	$2,146.28
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $791.38 / $1,088.14 / $1,681.67	Professional		$791.38	$1,088.14	$1,681.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $786.24 / $900.43 / $1,243.51	Professional		$786.24	$900.43	$1,243.51