Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.50 / $1,014.50 / $1,095.65	Facility		$1,014.50	$1,014.50	$1,095.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,014.50 / $1,130.75 / $2,028.99	Professional		$1,014.50	$1,130.75	$2,028.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,317.16 / $2,317.16 / $2,317.16	Facility		$2,317.16	$2,317.16	$2,317.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,665.63 / $1,665.63 / $1,665.63	Facility		$1,665.63	$1,665.63	$1,665.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.91 / $1,215.91 / $1,665.63	Professional		$1,215.91	$1,215.91	$1,665.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,767.49 / $12,133.56 / $12,133.56	Facility		$4,767.49	$12,133.56	$12,133.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,645.71 / $14,645.71 / $22,883.93	Professional		$14,645.71	$14,645.71	$22,883.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $737.03 / $1,658.44 / $2,317.16	Facility		$737.03	$1,658.44	$2,317.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $745.35 / $2,086.23 / $2,446.15	Professional		$745.35	$2,086.23	$2,446.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,772.62 / $2,363.50 / $5,213.60	Professional		$1,772.62	$2,363.50	$5,213.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $737.03 / $1,665.22 / $2,317.16	Facility		$737.03	$1,665.22	$2,317.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,215.91 / $1,215.91 / $1,715.60	Professional		$1,215.91	$1,215.91	$1,715.60
United Facility/Professional Professional Modifier Low / Median / High Price $951.38 / $1,407.40 / $1,720.12	Professional		$951.38	$1,407.40	$1,720.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,384.72 / $1,398.04 / $2,317.16	Professional		$1,384.72	$1,398.04	$2,317.16