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 $1,480.46 / $1,646.63 / $2,246.85	Professional		$1,480.46	$1,646.63	$2,246.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,437.86 / $1,437.86 / $1,437.86	Facility		$1,437.86	$1,437.86	$1,437.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,554.90 / $2,058.69 / $3,072.39	Professional		$1,554.90	$2,058.69	$3,072.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $23,073.70	Facility		$55.00	$55.00	$23,073.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,117.12 / $11,364.80 / $13,603.43	Professional		$11,117.12	$11,364.80	$13,603.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,522.29 / $1,917.08 / $3,492.38	Facility		$1,522.29	$1,917.08	$3,492.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,691.89 / $2,353.26 / $2,768.54	Professional		$1,691.89	$2,353.26	$2,768.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,055.80 / $2,055.80 / $2,055.80	Professional		$2,055.80	$2,055.80	$2,055.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,522.29 / $1,917.08 / $3,709.88	Facility		$1,522.29	$1,917.08	$3,709.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,565.70 / $2,102.71 / $3,252.48	Professional		$1,565.70	$2,102.71	$3,252.48
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 $1,243.20 / $1,674.69 / $2,784.02	Professional		$1,243.20	$1,674.69	$2,784.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,312.71 / $1,497.90 / $2,057.44	Professional		$1,312.71	$1,497.90	$2,057.44