Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,818.38 / $8,912.51	Facility		$1,174.90	$2,818.38	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $2,041.74	Professional		$1,174.90	$1,479.11	$2,041.74
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 $1,258.93 / $1,995.26 / $8,709.64	Facility		$1,258.93	$1,995.26	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,818.38	Professional		$2,344.23	$2,344.23	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $14,454.40 / $14,454.40	Professional		$9,772.37	$14,454.40	$14,454.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,630.78	Facility		$1,479.11	$1,949.84	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,041.74	Professional		$1,174.90	$1,548.82	$2,041.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,089.30 / $4,168.69	Professional		$1,949.84	$2,089.30	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $5,370.32	Facility		$1,348.96	$1,949.84	$5,370.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,041.74 / $3,388.44	Professional		$79.43	$2,041.74	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $812.83 / $1,949.84	Facility		$691.83	$812.83	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,348.96	Professional		$812.83	$812.83	$1,348.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $1,949.84	Professional		$1,122.02	$1,949.84	$1,949.84