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 $1,118.36 / $1,274.66 / $2,028.04	Professional		$1,118.36	$1,274.66	$2,028.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,308.02 / $1,308.02 / $1,308.02	Facility		$1,308.02	$1,308.02	$1,308.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,432.53 / $1,895.00 / $2,755.92	Professional		$1,432.53	$1,895.00	$2,755.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $24,653.92	Facility		$55.00	$55.00	$24,653.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,540.09 / $9,687.12 / $12,283.43	Professional		$9,540.09	$9,687.12	$12,283.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,284.64 / $1,700.93 / $3,050.76	Facility		$1,284.64	$1,700.93	$3,050.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,487.29 / $2,068.67 / $2,433.73	Professional		$1,487.29	$2,068.67	$2,433.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $1,689.00	Professional		$1,689.00	$1,689.00	$1,689.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,284.64 / $1,730.86 / $3,122.72	Facility		$1,284.64	$1,730.86	$3,122.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,432.53 / $1,897.20 / $2,811.78	Professional		$1,432.53	$1,897.20	$2,811.78
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 $1,108.80 / $1,555.79 / $2,404.40	Professional		$1,108.80	$1,555.79	$2,404.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,153.96 / $1,308.41 / $1,797.43	Professional		$1,153.96	$1,308.41	$1,797.43