Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,441.72	Facility		$1,427.45	$1,427.45	$1,441.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,470.27	Professional		$1,427.45	$1,427.45	$1,470.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.37 / $121.37 / $127.00	Facility		$121.37	$121.37	$127.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.65 / $1,427.45 / $1,427.45	Facility		$1,346.65	$1,427.45	$1,427.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,427.45	Professional		$1,427.45	$1,427.45	$1,427.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,845.10 / $2,065.40 / $6,525.00	Facility		$1,845.10	$2,065.40	$6,525.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,444.03 / $6,525.00 / $6,612.00	Professional		$6,444.03	$6,525.00	$6,612.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,370.73 / $1,427.45 / $3,026.19	Facility		$1,370.73	$1,427.45	$3,026.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,784.31	Professional		$1,427.45	$1,427.45	$1,784.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $302.94 / $3,283.99	Professional		$148.10	$302.94	$3,283.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $3,020.43	Facility		$1,427.45	$1,427.45	$3,020.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,824.44	Professional		$1,427.45	$1,427.45	$1,824.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,288.69 / $2,288.69 / $2,288.69	Facility		$2,288.69	$2,288.69	$2,288.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,456.00	Professional		$1,427.45	$1,427.45	$1,456.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,927.06	Professional		$1,427.45	$1,427.45	$1,927.06