Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,445.44	Facility		$1,412.54	$1,412.54	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,548.82	Professional		$1,412.54	$1,412.54	$1,548.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $120.23 / $1,412.54	Facility		$117.49	$120.23	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,412.54 / $1,412.54	Facility		$1,348.96	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,445.44 / $2,691.53	Facility		$141.25	$1,445.44	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $1,412.54 / $1,479.11	Professional		$147.91	$1,412.54	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,380.38	Professional		$32.36	$33.11	$1,380.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $1,905.46	Professional		$245.47	$245.47	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,412.54 / $2,570.40	Facility		$169.82	$1,412.54	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $302.00 / $1,445.44	Professional		$125.89	$302.00	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $125.89	Professional		$120.23	$125.89	$125.89