Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $10,836.00	Facility		$969.00	$3,682.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,966.46 / $2,264.40 / $3,655.03	Professional		$1,966.46	$2,264.40	$3,655.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,261.01 / $2,261.01 / $2,261.01	Facility		$2,261.01	$2,261.01	$2,261.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,555.81 / $3,275.87 / $4,814.99	Professional		$2,555.81	$3,275.87	$4,814.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $32,476.56	Facility		$55.00	$55.00	$32,476.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,801.25 / $17,015.28 / $21,653.78	Professional		$16,801.25	$17,015.28	$21,653.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,289.84 / $3,063.32 / $5,420.78	Facility		$2,289.84	$3,063.32	$5,420.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,617.00 / $3,640.01 / $4,282.35	Professional		$2,617.00	$3,640.01	$4,282.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,186.30 / $3,186.30 / $3,186.30	Professional		$3,186.30	$3,186.30	$3,186.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,289.84 / $3,098.88 / $5,581.60	Facility		$2,289.84	$3,098.88	$5,581.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,557.53 / $3,342.18 / $4,980.07	Professional		$2,557.53	$3,342.18	$4,980.07
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 $2,006.90 / $2,752.32 / $4,266.43	Professional		$2,006.90	$2,752.32	$4,266.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,030.48 / $2,304.94 / $3,159.14	Professional		$2,030.48	$2,304.94	$3,159.14