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 $1,062.61 / $1,158.28 / $1,615.49	Professional		$1,062.61	$1,158.28	$1,615.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $970.18 / $970.18 / $970.18	Facility		$970.18	$970.18	$970.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.23 / $1,491.56 / $2,310.48	Professional		$1,122.23	$1,491.56	$2,310.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,757.14	Facility		$55.00	$55.00	$8,757.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,994.16 / $8,172.88 / $9,114.75	Professional		$7,994.16	$8,172.88	$9,114.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,083.86 / $1,440.54 / $2,436.48	Facility		$1,083.86	$1,440.54	$2,436.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,172.40 / $1,630.70 / $1,918.48	Professional		$1,172.40	$1,630.70	$1,918.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.30 / $1,621.30 / $1,621.30	Professional		$1,621.30	$1,621.30	$1,621.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,083.86 / $1,466.41 / $2,779.28	Facility		$1,083.86	$1,466.41	$2,779.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.23 / $1,517.75 / $2,522.05	Professional		$1,122.23	$1,517.75	$2,522.05
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 $918.98 / $1,264.22 / $1,952.84	Professional		$918.98	$1,264.22	$1,952.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $909.65 / $1,042.25 / $1,438.65	Professional		$909.65	$1,042.25	$1,438.65