Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,817.60 / $5,963.04 / $12,566.00	Facility		$5,817.60	$5,963.04	$12,566.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,817.60 / $5,963.04 / $6,908.40	Professional		$5,817.60	$5,963.04	$6,908.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,181.20 / $6,181.20 / $6,181.20	Facility		$6,181.20	$6,181.20	$6,181.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,181.20 / $6,181.20 / $6,181.20	Professional		$6,181.20	$6,181.20	$6,181.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,908.40 / $26,506.30 / $26,506.30	Facility		$6,908.40	$26,506.30	$26,506.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,314.69 / $27,633.60 / $29,977.92	Professional		$25,314.69	$27,633.60	$29,977.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $768.36 / $5,963.04 / $7,453.80	Facility		$768.36	$5,963.04	$7,453.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $680.13 / $1,198.05 / $5,454.00	Professional		$680.13	$1,198.05	$5,454.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $2,007.60 / $2,419.10	Professional		$27.40	$2,007.60	$2,419.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $774.76 / $5,963.04 / $7,853.76	Facility		$774.76	$5,963.04	$7,853.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,181.20 / $6,181.20 / $6,939.34	Professional		$6,181.20	$6,181.20	$6,939.34
United Facility/Professional Professional Modifier Low / Median / High Price $6,060.00 / $6,423.60 / $6,746.05	Professional		$6,060.00	$6,423.60	$6,746.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,551.47 / $5,551.47 / $7,772.06	Professional		$5,551.47	$5,551.47	$7,772.06