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 $2,075.94 / $2,324.78 / $3,652.35	Professional		$2,075.94	$2,324.78	$3,652.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,374.75 / $2,374.75 / $2,374.75	Facility		$2,374.75	$2,374.75	$2,374.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,544.77 / $3,284.38 / $4,617.43	Professional		$2,544.77	$3,284.38	$4,617.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $45,702.40	Facility		$55.00	$55.00	$45,702.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,770.43 / $17,960.64 / $22,880.18	Professional		$17,770.43	$17,960.64	$22,880.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,253.12 / $2,832.52 / $5,733.02	Facility		$2,253.12	$2,832.52	$5,733.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,763.59 / $3,843.90 / $4,522.22	Professional		$2,763.59	$3,843.90	$4,522.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,954.50 / $2,954.50 / $2,954.50	Professional		$2,954.50	$2,954.50	$2,954.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,253.12 / $2,846.67 / $5,879.44	Facility		$2,253.12	$2,846.67	$5,879.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,545.90 / $3,319.96 / $5,107.39	Professional		$2,545.90	$3,319.96	$5,107.39
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 $1,856.29 / $2,604.13 / $4,420.64	Professional		$1,856.29	$2,604.13	$4,420.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,144.21 / $2,434.90 / $3,334.95	Professional		$2,144.21	$2,434.90	$3,334.95