Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,855.86 / $3,952.25 / $8,328.66	Facility		$3,855.86	$3,952.25	$8,328.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,855.86 / $3,952.25 / $4,742.70	Professional		$3,855.86	$3,952.25	$4,742.70
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 $4,819.82 / $4,819.82 / $4,819.82	Facility		$4,819.82	$4,819.82	$4,819.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $4,819.82	Professional		$4,819.82	$4,819.82	$4,819.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,684.00 / $7,711.71 / $9,719.64	Facility		$5,684.00	$7,711.71	$9,719.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,459.46 / $21,887.34 / $22,762.83	Professional		$14,459.46	$21,887.34	$22,762.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,686.43 / $4,819.82 / $6,317.72	Facility		$2,686.43	$4,819.82	$6,317.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,614.87 / $3,614.87 / $6,906.06	Professional		$3,614.87	$3,614.87	$6,906.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,711.70 / $8,482.90 / $9,350.50	Professional		$7,711.70	$8,482.90	$9,350.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,732.80 / $4,819.82 / $6,317.72	Facility		$2,732.80	$4,819.82	$6,317.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $5,456.40	Professional		$4,819.82	$4,819.82	$5,456.40
United Facility/Professional Professional Modifier Low / Median / High Price $5,684.00 / $6,025.04 / $6,327.49	Professional		$5,684.00	$6,025.04	$6,327.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $6,747.75	Professional		$4,819.82	$4,819.82	$6,747.75