Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.83 / $3,596.00 / $10,836.00	Facility		$760.83	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.35 / $685.53 / $948.77	Professional		$616.35	$685.53	$948.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $580.02 / $580.02 / $580.02	Facility		$580.02	$580.02	$580.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.85 / $1,377.85 / $1,377.85	Facility		$1,377.85	$1,377.85	$1,377.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $672.32 / $877.15 / $1,354.08	Professional		$672.32	$877.15	$1,354.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,444.45	Facility		$55.00	$55.00	$5,444.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,814.12 / $4,839.68 / $5,417.85	Professional		$4,814.12	$4,839.68	$5,417.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $631.59 / $858.90 / $1,434.84	Facility		$631.59	$858.90	$1,434.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $822.08 / $967.53 / $1,138.27	Professional		$822.08	$967.53	$1,138.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.70 / $1,042.70 / $1,042.70	Professional		$1,042.70	$1,042.70	$1,042.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $631.59 / $870.90 / $1,543.43	Facility		$631.59	$870.90	$1,543.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $672.95 / $892.05 / $1,434.03	Professional		$672.95	$892.05	$1,434.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.72 / $734.61 / $1,141.24	Professional		$524.72	$734.61	$1,141.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $539.71 / $617.00 / $853.92	Professional		$539.71	$617.00	$853.92