Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $3,219.00 / $10,893.00	Facility		$880.00	$3,219.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.87 / $1,184.33 / $1,865.84	Professional		$887.87	$1,184.33	$1,865.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $906.01 / $906.01 / $946.23	Facility		$906.01	$906.01	$946.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.86 / $1,494.86 / $1,543.72	Facility		$1,494.86	$1,494.86	$1,543.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,010.61 / $1,330.11 / $1,890.79	Professional		$1,010.61	$1,330.11	$1,890.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,603.62 / $26,542.00 / $26,542.00	Facility		$8,603.62	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,838.16 / $8,106.72 / $8,887.50	Professional		$7,838.16	$8,106.72	$8,887.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,008.42 / $1,276.56 / $2,019.82	Facility		$1,008.42	$1,276.56	$2,019.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.56 / $1,561.37 / $5,478.00	Professional		$1,008.56	$1,561.37	$5,478.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,226.20 / $1,226.20 / $1,254.40	Professional		$1,226.20	$1,226.20	$1,254.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,008.56 / $1,290.82 / $2,062.50	Facility		$1,008.56	$1,290.82	$2,062.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,009.71 / $1,381.80 / $2,038.26	Professional		$1,009.71	$1,381.80	$2,038.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,958.00 / $13,134.00	Facility		$2,093.00	$5,958.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $820.07 / $1,102.18 / $1,615.24	Professional		$820.07	$1,102.18	$1,615.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $888.39 / $1,008.56 / $1,411.20	Professional		$888.39	$1,008.56	$1,411.20