Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,678.89 / $4,795.88 / $10,106.40	Facility		$4,678.89	$4,795.88	$10,106.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,678.89 / $4,795.88 / $5,755.06	Professional		$4,678.89	$4,795.88	$5,755.06
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 $4,971.34 / $4,971.34 / $4,971.34	Facility		$4,971.34	$4,971.34	$4,971.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $4,971.34	Professional		$4,971.34	$4,971.34	$4,971.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,060.60 / $24,957.02 / $25,866.89	Facility		$9,060.60	$24,957.02	$25,866.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,212.69 / $24,212.69 / $39,884.69	Professional		$24,212.69	$24,212.69	$39,884.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,704.08 / $5,166.29 / $6,974.49	Facility		$1,704.08	$5,166.29	$6,974.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,310.01 / $5,166.29 / $8,267.00	Professional		$4,310.01	$5,166.29	$8,267.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,769.70 / $5,485.10 / $11,624.20	Professional		$4,769.70	$5,485.10	$11,624.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,798.33 / $5,166.29 / $7,486.24	Facility		$1,798.33	$5,166.29	$7,486.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $5,897.37	Professional		$4,971.34	$4,971.34	$5,897.37
United Facility/Professional Professional Modifier Low / Median / High Price $4,873.85 / $5,166.29 / $5,425.63	Professional		$4,873.85	$5,166.29	$5,425.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $6,959.88	Professional		$4,971.34	$4,971.34	$6,959.88