Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,947.00 / $10,874.00	Facility		$872.00	$3,947.00	$10,874.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.25 / $604.14 / $839.68	Professional		$439.25	$604.14	$839.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $700.32 / $700.32 / $724.04	Facility		$700.32	$700.32	$724.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.83 / $2,024.00 / $4,619.00	Facility		$857.83	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.39 / $679.39 / $679.39	Professional		$679.39	$679.39	$679.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,296.58 / $4,121.33 / $4,121.33	Facility		$1,296.58	$4,121.33	$4,121.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,679.27 / $4,679.27 / $6,526.05	Professional		$4,679.27	$4,679.27	$6,526.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $598.97 / $814.83 / $1,511.43	Facility		$598.97	$814.83	$1,511.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $849.24 / $1,129.85 / $1,329.25	Professional		$849.24	$1,129.85	$1,329.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,189.70 / $1,359.70 / $1,907.90	Professional		$1,189.70	$1,359.70	$1,907.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $598.97 / $818.56 / $1,582.08	Facility		$598.97	$818.56	$1,582.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $679.39 / $679.39 / $1,757.34	Professional		$679.39	$679.39	$1,757.34
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.73 / $755.32 / $1,199.80	Professional		$564.73	$755.32	$1,199.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.26 / $732.60 / $988.79	Professional		$630.26	$732.60	$988.79