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 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.88 / $1,349.81 / $2,203.02	Professional		$1,137.88	$1,349.81	$2,203.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,332.99 / $1,394.59	Facility		$80.00	$1,332.99	$1,394.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,585.07 / $3,603.00 / $6,702.00	Facility		$1,585.07	$3,603.00	$6,702.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,355.75 / $1,808.59 / $2,656.92	Professional		$1,355.75	$1,808.59	$2,656.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $17,243.93	Facility		$55.00	$5,000.00	$17,243.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,643.36 / $9,855.60 / $12,487.28	Professional		$9,643.36	$9,855.60	$12,487.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,257.45 / $1,628.77 / $2,805.00	Facility		$1,257.45	$1,628.77	$2,805.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,718.81 / $2,062.58 / $2,557.59	Professional		$1,718.81	$2,062.58	$2,557.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,574.54 / $2,331.29 / $5,113.16	Professional		$1,574.54	$2,331.29	$5,113.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,257.45 / $1,637.03 / $2,902.01	Facility		$1,257.45	$1,637.03	$2,902.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,371.31 / $1,883.56 / $2,756.74	Professional		$1,371.31	$1,883.56	$2,756.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,027.00 / $20,955.00	Facility		$4,600.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,076.46 / $1,435.28 / $2,277.15	Professional		$1,076.46	$1,435.28	$2,277.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,173.56 / $1,330.31 / $1,828.40	Professional		$1,173.56	$1,330.31	$1,828.40