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 $2,042.02 / $2,482.98 / $3,950.23	Professional		$2,042.02	$2,482.98	$3,950.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,345.06 / $2,470.46	Facility		$80.00	$2,345.06	$2,470.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,864.64 / $2,864.64 / $2,864.64	Facility		$2,864.64	$2,864.64	$2,864.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,470.31 / $3,300.90 / $4,902.03	Professional		$2,470.31	$3,300.90	$4,902.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $44,964.48	Facility		$55.00	$5,000.00	$44,964.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,467.80 / $17,672.88 / $22,487.70	Professional		$17,467.80	$17,672.88	$22,487.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,245.69 / $2,858.16 / $4,650.43	Facility		$2,245.69	$2,858.16	$4,650.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,088.29 / $3,705.95 / $4,595.37	Professional		$3,088.29	$3,705.95	$4,595.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,637.20 / $2,637.20 / $2,637.20	Professional		$2,637.20	$2,637.20	$2,637.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,262.54 / $2,862.97 / $4,765.60	Facility		$2,262.54	$2,862.97	$4,765.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,525.21 / $3,476.80 / $5,055.13	Professional		$2,525.21	$3,476.80	$5,055.13
United Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $2,064.00 / $8,759.00	Facility		$432.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,980.16 / $2,640.21 / $4,175.14	Professional		$1,980.16	$2,640.21	$4,175.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,108.61 / $2,393.92 / $3,280.50	Professional		$2,108.61	$2,393.92	$3,280.50