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 $1,226.18 / $1,431.70 / $2,030.05	Professional		$1,226.18	$1,431.70	$2,030.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,172.57 / $1,172.57 / $1,172.57	Facility		$1,172.57	$1,172.57	$1,172.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,359.39 / $1,795.43 / $2,723.70	Professional		$1,359.39	$1,795.43	$2,723.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,610.53	Facility		$55.00	$55.00	$10,610.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,685.76 / $9,901.20 / $11,047.20	Professional		$9,685.76	$9,901.20	$11,047.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,301.73 / $1,730.50 / $2,952.97	Facility		$1,301.73	$1,730.50	$2,952.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,420.76 / $1,976.15 / $2,324.88	Professional		$1,420.76	$1,976.15	$2,324.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,062.50 / $2,062.50 / $2,062.50	Professional		$2,062.50	$2,062.50	$2,062.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,301.73 / $1,730.50 / $3,366.33	Facility		$1,301.73	$1,730.50	$3,366.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,359.39 / $1,823.05 / $2,812.15	Professional		$1,359.39	$1,823.05	$2,812.15
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,205.00 / $18,325.00	Facility		$385.00	$2,205.00	$18,325.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,098.76 / $1,518.21 / $2,366.37	Professional		$1,098.76	$1,518.21	$2,366.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,102.33 / $1,263.21 / $1,743.23	Professional		$1,102.33	$1,263.21	$1,743.23