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 $1,071.97 / $1,241.21 / $2,024.70	Professional		$1,071.97	$1,241.21	$2,024.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,098.21 / $1,113.27	Facility		$80.00	$1,098.21	$1,113.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,392.82 / $1,392.82 / $1,392.82	Facility		$1,392.82	$1,392.82	$1,392.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,198.14 / $1,663.27 / $2,445.16	Professional		$1,198.14	$1,663.27	$2,445.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,484.06	Facility		$55.00	$55.00	$8,484.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,776.75 / $10,776.75 / $10,776.75	Professional		$10,776.75	$10,776.75	$10,776.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,149.25 / $1,495.62 / $2,390.04	Facility		$1,149.25	$1,495.62	$2,390.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.41 / $1,816.10 / $2,251.96	Professional		$1,513.41	$1,816.10	$2,251.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,292.14 / $2,052.73 / $4,406.34	Professional		$1,292.14	$2,052.73	$4,406.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,149.25 / $1,496.27 / $2,435.01	Facility		$1,149.25	$1,496.27	$2,435.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,208.52 / $1,715.44 / $2,553.98	Professional		$1,208.52	$1,715.44	$2,553.98
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 $994.18 / $1,325.88 / $2,138.14	Professional		$994.18	$1,325.88	$2,138.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,033.32 / $1,172.99 / $1,631.38	Professional		$1,033.32	$1,172.99	$1,631.38