Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $2,238.72	Professional		$1,148.15	$1,412.54	$2,238.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,318.26 / $1,380.38	Facility		$79.43	$1,318.26	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,918.31 / $6,918.31	Facility		$3,630.78	$6,918.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $2,754.23	Professional		$1,288.25	$1,819.70	$2,754.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $17,378.01	Facility		$5,011.87	$5,011.87	$17,378.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $12,589.25 / $12,589.25	Professional		$9,549.93	$12,589.25	$12,589.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $3,715.35	Facility		$1,230.27	$1,778.28	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $2,454.71	Professional		$1,174.90	$1,737.80	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,174.90	Professional		$32.36	$33.11	$1,174.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $4,897.79 / $5,128.61	Professional		$1,548.82	$4,897.79	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $3,090.30	Facility		$1,288.25	$1,698.24	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $2,818.38	Professional		$1,258.93	$1,819.70	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,715.19 / $22,908.68	Facility		$4,570.88	$10,715.19	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,238.72	Professional		$1,071.52	$1,445.44	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,479.11 / $1,479.11	Professional		$1,318.26	$1,479.11	$1,479.11