Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.32 / $3,682.00 / $12,040.00	Facility		$868.32	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.47 / $1,005.16 / $1,371.98	Professional		$737.47	$1,005.16	$1,371.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,136.30 / $1,136.30 / $1,176.66	Facility		$1,136.30	$1,136.30	$1,176.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.10 / $1,109.10 / $1,109.10	Professional		$1,109.10	$1,109.10	$1,109.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,113.85 / $6,733.25 / $6,733.25	Facility		$2,113.85	$6,733.25	$6,733.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,680.91 / $7,680.91 / $10,658.85	Professional		$7,680.91	$7,680.91	$10,658.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $982.77 / $1,347.78 / $2,490.60	Facility		$982.77	$1,347.78	$2,490.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,386.38 / $1,844.49 / $2,169.98	Professional		$1,386.38	$1,844.49	$2,169.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,977.40 / $2,259.80 / $3,129.40	Professional		$1,977.40	$2,259.80	$3,129.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $982.77 / $1,352.26 / $2,547.76	Facility		$982.77	$1,352.26	$2,547.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,109.10 / $1,109.10 / $2,953.40	Professional		$1,109.10	$1,109.10	$2,953.40
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 $932.26 / $1,281.85 / $1,981.06	Professional		$932.26	$1,281.85	$1,981.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,028.90 / $1,195.75 / $1,613.57	Professional		$1,028.90	$1,195.75	$1,613.57