Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $6,307.20 / $17,676.00	Facility		$2,160.00	$6,307.20	$17,676.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,016.00 / $2,376.00 / $3,060.00	Professional		$2,016.00	$2,376.00	$3,060.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.34 / $3,600.00 / $17,640.00	Facility		$76.34	$3,600.00	$17,640.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $3,600.00	Professional		$3,600.00	$3,600.00	$3,600.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,319.96 / $8,449.04 / $19,082.75	Facility		$2,319.96	$8,449.04	$19,082.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,908.00 / $4,384.80 / $5,253.49	Professional		$1,908.00	$4,384.80	$5,253.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,760.00 / $17,100.00 / $17,100.00	Facility		$5,760.00	$17,100.00	$17,100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,000.00 / $18,000.00 / $27,000.00	Professional		$18,000.00	$18,000.00	$27,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,196.00 / $3,600.00 / $5,400.00	Facility		$2,196.00	$3,600.00	$5,400.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,420.00 / $3,600.00 / $4,500.00	Professional		$3,420.00	$3,600.00	$4,500.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $4,500.00 / $12,600.00	Professional		$2,340.00	$4,500.00	$12,600.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,454.73 / $8,261.61 / $19,391.36	Facility		$2,454.73	$8,261.61	$19,391.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,800.00 / $4,320.00 / $5,184.00	Professional		$2,800.00	$4,320.00	$5,184.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $1,512.00 / $2,475.00	Professional		$1,512.00	$1,512.00	$2,475.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $3,600.00	Professional		$1,440.00	$1,440.00	$3,600.00