Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,656.74 / $4,397.89 / $12,325.10	Facility		$1,656.74	$4,397.89	$12,325.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,405.72 / $1,757.15 / $3,012.25	Professional		$1,405.72	$1,757.15	$3,012.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,510.21 / $2,510.21	Facility		$80.00	$2,510.21	$2,510.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,012.29 / $5,482.31 / $11,184.95	Facility		$2,012.29	$5,482.31	$11,184.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.57 / $2,384.85 / $4,233.80	Professional		$1,291.57	$2,384.85	$4,233.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,016.34 / $11,923.50 / $11,923.50	Facility		$4,016.34	$11,923.50	$11,923.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,551.05 / $12,551.05 / $18,826.58	Professional		$12,551.05	$12,551.05	$18,826.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,581.43 / $2,510.21 / $4,016.34	Facility		$1,581.43	$2,510.21	$4,016.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $2,510.21 / $3,137.76	Professional		$2,510.21	$2,510.21	$3,137.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,631.64 / $3,012.25 / $5,647.97	Professional		$1,631.64	$3,012.25	$5,647.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,757.15 / $2,728.10 / $9,040.96	Facility		$1,757.15	$2,728.10	$9,040.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,338.78 / $3,012.25 / $4,233.80	Professional		$1,338.78	$3,012.25	$4,233.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,301.58 / $3,099.02	Professional		$1,054.29	$1,301.58	$3,099.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,239.60 / $1,300.29 / $2,510.21	Professional		$1,239.60	$1,300.29	$2,510.21