Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,187.76 / $6,918.31	Facility		$912.01	$2,187.76	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,737.80	Professional		$912.01	$1,148.15	$1,737.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $6,760.83	Facility		$977.24	$1,548.82	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,238.72	Professional		$1,862.09	$1,862.09	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $11,481.54 / $11,481.54	Professional		$7,585.78	$11,481.54	$11,481.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,818.38	Facility		$1,148.15	$1,513.56	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,819.70	Professional		$912.01	$1,230.27	$1,819.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $3,235.94	Professional		$1,513.56	$1,659.59	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $4,168.69	Facility		$1,071.52	$1,513.56	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,584.89 / $2,630.27	Professional		$79.43	$1,584.89	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $630.96 / $1,513.56	Facility		$549.54	$630.96	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,047.13	Professional		$630.96	$630.96	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,513.56 / $1,513.56	Professional		$588.84	$1,513.56	$1,513.56