Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,281.00	Facility		$921.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.58 / $1,065.99 / $1,731.26	Professional		$864.58	$1,065.99	$1,731.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,059.13 / $1,106.24	Facility		$80.00	$1,059.13	$1,106.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,249.74 / $1,249.74 / $1,249.74	Facility		$1,249.74	$1,249.74	$1,249.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.90 / $1,325.64 / $1,940.63	Professional		$972.90	$1,325.64	$1,940.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,800.80	Facility		$55.00	$55.00	$19,800.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,251.14 / $9,251.14 / $9,846.23	Professional		$9,251.14	$9,251.14	$9,846.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,125.86 / $1,927.92	Facility		$899.00	$1,125.86	$1,927.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,356.13 / $1,627.35 / $2,017.91	Professional		$1,356.13	$1,627.35	$2,017.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $988.60 / $988.60 / $988.60	Professional		$988.60	$988.60	$988.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,132.22 / $2,052.46	Facility		$899.00	$1,132.22	$2,052.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $996.92 / $1,352.99 / $2,161.98	Professional		$996.92	$1,352.99	$2,161.98
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 $727.18 / $1,059.27 / $1,717.73	Professional		$727.18	$1,059.27	$1,717.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $925.93 / $1,049.25 / $1,443.10	Professional		$925.93	$1,049.25	$1,443.10