Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.08 / $2,673.00 / $7,495.00	Facility		$685.08	$2,673.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.71 / $636.99 / $880.82	Professional		$550.71	$636.99	$880.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $536.29 / $536.29 / $536.29	Facility		$536.29	$536.29	$536.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.57 / $799.70 / $1,242.17	Professional		$613.57	$799.70	$1,242.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $16,394.00 / $16,394.00	Facility		$9,388.90	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,363.12 / $4,458.16 / $4,997.25	Professional		$4,363.12	$4,458.16	$4,997.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $582.12 / $755.88 / $1,322.82	Facility		$582.12	$755.88	$1,322.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $757.74 / $891.81 / $1,049.18	Professional		$757.74	$891.81	$1,049.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $820.50 / $820.50 / $820.50	Professional		$820.50	$820.50	$820.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $582.12 / $756.46 / $1,530.12	Facility		$582.12	$756.46	$1,530.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $613.57 / $809.65 / $1,314.57	Professional		$613.57	$809.65	$1,314.57
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 $494.86 / $653.99 / $1,051.58	Professional		$494.86	$653.99	$1,051.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $497.47 / $568.27 / $787.17	Professional		$497.47	$568.27	$787.17