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 $2,005.15 / $2,216.78 / $3,057.14	Professional		$2,005.15	$2,216.78	$3,057.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,840.51 / $1,840.51 / $1,840.51	Facility		$1,840.51	$1,840.51	$1,840.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,134.15 / $2,831.90 / $4,378.58	Professional		$2,134.15	$2,831.90	$4,378.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $21,478.59	Facility		$55.00	$55.00	$21,478.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,415.00 / $30,415.00 / $30,415.00	Professional		$30,415.00	$30,415.00	$30,415.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,074.39 / $2,745.59 / $4,669.75	Facility		$2,074.39	$2,745.59	$4,669.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,236.98 / $3,111.44 / $3,660.52	Professional		$2,236.98	$3,111.44	$3,660.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,967.00 / $2,967.00 / $2,967.00	Professional		$2,967.00	$2,967.00	$2,967.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,074.39 / $2,745.59 / $4,987.76	Facility		$2,074.39	$2,745.59	$4,987.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,141.44 / $2,874.27 / $4,754.60	Professional		$2,141.44	$2,874.27	$4,754.60
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 $1,760.02 / $2,420.02 / $3,740.03	Professional		$1,760.02	$2,420.02	$3,740.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,735.63 / $1,990.60 / $2,744.40	Professional		$1,735.63	$1,990.60	$2,744.40