Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.19 / $3,596.00 / $10,836.00	Facility		$875.19	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.87 / $935.59 / $1,296.10	Professional		$840.87	$935.59	$1,296.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $787.08 / $787.08 / $787.08	Facility		$787.08	$787.08	$787.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $907.49 / $1,193.07 / $1,847.35	Professional		$907.49	$1,193.07	$1,847.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,083.65	Facility		$55.00	$55.00	$7,083.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,462.80 / $6,605.44 / $7,376.40	Professional		$6,462.80	$6,605.44	$7,376.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $875.19 / $1,164.15 / $1,961.25	Facility		$875.19	$1,164.15	$1,961.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $948.23 / $1,318.91 / $1,551.65	Professional		$948.23	$1,318.91	$1,551.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.20 / $1,276.20 / $1,276.20	Professional		$1,276.20	$1,276.20	$1,276.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $875.19 / $1,173.20 / $2,246.51	Facility		$875.19	$1,173.20	$2,246.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $907.49 / $1,210.77 / $2,010.96	Professional		$907.49	$1,210.77	$2,010.96
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 $739.40 / $1,016.68 / $1,571.23	Professional		$739.40	$1,016.68	$1,571.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $735.72 / $842.28 / $1,163.78	Professional		$735.72	$842.28	$1,163.78