Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,224.00 / $11,453.00	Facility		$803.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.03 / $897.00 / $1,525.26	Professional		$742.03	$897.00	$1,525.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $923.78 / $964.94	Facility		$80.00	$923.78	$964.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,094.21 / $1,094.21 / $1,094.21	Facility		$1,094.21	$1,094.21	$1,094.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $853.36 / $1,178.69 / $1,734.09	Professional		$853.36	$1,178.69	$1,734.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,396.81 / $11,500.00 / $26,542.00	Facility		$6,396.81	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,677.28 / $6,816.64 / $8,633.93	Professional		$6,677.28	$6,816.64	$8,633.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $782.86 / $985.28 / $1,668.26	Facility		$782.86	$985.28	$1,668.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,189.14 / $1,426.97 / $1,769.44	Professional		$1,189.14	$1,426.97	$1,769.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $953.29 / $1,618.95 / $2,152.82	Professional		$953.29	$1,618.95	$2,152.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $782.86 / $985.28 / $1,690.26	Facility		$782.86	$985.28	$1,690.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $893.58 / $1,227.84 / $1,889.00	Professional		$893.58	$1,227.84	$1,889.00
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.61 / $908.75 / $1,499.43	Professional		$677.61	$908.75	$1,499.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $811.91 / $920.00 / $1,265.42	Professional		$811.91	$920.00	$1,265.42