Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.00 / $1,328.40 / $1,328.40	Facility		$1,296.00	$1,328.40	$1,328.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,328.40 / $1,377.00	Professional		$1,296.00	$1,328.40	$1,377.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.37 / $121.37 / $121.37	Facility		$121.37	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $3,240.00 / $5,737.50	Facility		$1,539.00	$3,240.00	$5,737.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,814.00 / $6,156.00 / $6,885.00	Professional		$5,814.00	$6,156.00	$6,885.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,321.92 / $1,620.00 / $2,816.21	Facility		$1,321.92	$1,620.00	$2,816.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,306.76 / $1,306.76 / $3,128.63	Professional		$1,306.76	$1,306.76	$3,128.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $205.54 / $302.94	Professional		$148.10	$205.54	$302.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,328.40 / $1,620.00 / $2,810.84	Facility		$1,328.40	$1,620.00	$2,810.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,367.55	Professional		$1,350.00	$1,350.00	$1,367.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,390.50 / $1,877.18	Professional		$1,000.00	$1,390.50	$1,877.18