Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,511.00 / $12,040.00	Facility		$969.00	$3,511.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,416.17 / $1,718.20 / $2,836.53	Professional		$1,416.17	$1,718.20	$2,836.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,644.00 / $1,725.86	Facility		$80.00	$1,644.00	$1,725.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,980.56 / $3,603.00 / $6,702.00	Facility		$1,980.56	$3,603.00	$6,702.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,731.26 / $2,313.37 / $3,453.52	Professional		$1,731.26	$2,313.37	$3,453.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $21,448.13	Facility		$55.00	$5,000.00	$21,448.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,062.04 / $12,265.60 / $15,564.23	Professional		$12,062.04	$12,265.60	$15,564.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,625.59 / $2,079.11 / $3,345.19	Facility		$1,625.59	$2,079.11	$3,345.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,140.13 / $2,568.15 / $3,184.51	Professional		$2,140.13	$2,568.15	$3,184.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,946.35 / $2,901.31 / $6,359.64	Professional		$1,946.35	$2,901.31	$6,359.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,641.78 / $2,080.41 / $3,533.66	Facility		$1,641.78	$2,080.41	$3,533.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,748.22 / $2,414.21 / $3,572.41	Professional		$1,748.22	$2,414.21	$3,572.41
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,547.00 / $9,000.00	Facility		$500.00	$2,547.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,367.00 / $1,875.96 / $2,898.40	Professional		$1,367.00	$1,875.96	$2,898.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,461.23 / $1,657.63 / $2,275.05	Professional		$1,461.23	$1,657.63	$2,275.05