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 $2,121.78 / $2,508.26 / $3,857.39	Professional		$2,121.78	$2,508.26	$3,857.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,425.07 / $2,425.07 / $2,425.07	Facility		$2,425.07	$2,425.07	$2,425.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,730.04 / $3,608.53 / $5,250.19	Professional		$2,730.04	$3,608.53	$5,250.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $46,704.80	Facility		$55.00	$55.00	$46,704.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,171.24 / $18,351.12 / $23,385.83	Professional		$18,171.24	$18,351.12	$23,385.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,468.19 / $3,288.78 / $5,872.34	Facility		$2,468.19	$3,288.78	$5,872.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,824.44 / $3,928.54 / $4,621.81	Professional		$2,824.44	$3,928.54	$4,621.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,435.20 / $3,435.20 / $3,435.20	Professional		$3,435.20	$3,435.20	$3,435.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,468.19 / $3,330.73 / $6,010.83	Facility		$2,468.19	$3,330.73	$6,010.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,765.88 / $3,608.53 / $5,385.78	Professional		$2,765.88	$3,608.53	$5,385.78
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 $2,162.30 / $2,908.47 / $4,619.22	Professional		$2,162.30	$2,908.47	$4,619.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,191.42 / $2,488.64 / $3,408.20	Professional		$2,191.42	$2,488.64	$3,408.20