Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,168.69 / $14,125.38	Facility		$1,288.25	$4,168.69	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $2,344.23	Professional		$1,348.96	$1,548.82	$2,344.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,235.94	Professional		$1,479.11	$1,995.26	$3,235.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $33,884.42 / $33,884.42	Facility		$10,232.93	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Professional		$12,882.50	$12,882.50	$12,882.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $6,456.54	Facility		$1,348.96	$2,137.96	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,398.83	Professional		$1,380.38	$1,778.28	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,202.26	Professional		$32.36	$33.11	$1,202.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $3,090.30 / $3,890.45	Professional		$5.01	$3,090.30	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $3,467.37	Facility		$1,348.96	$1,995.26	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $3,162.28	Professional		$1,412.54	$1,995.26	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,803.84	Facility		$2,187.76	$6,606.93	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,630.27	Professional		$1,258.93	$1,698.24	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,348.96	Professional		$1,258.93	$1,348.96	$1,348.96