Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,162.28 / $10,000.00	Facility		$1,318.26	$3,162.28	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,187.76	Professional		$1,318.26	$1,659.59	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
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 $1,445.44 / $2,137.96 / $9,772.37	Facility		$1,445.44	$2,137.96	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,235.94	Professional		$2,691.53	$2,691.53	$3,235.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Facility		$10,471.29	$10,471.29	$10,471.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $16,595.87	Professional		$10,964.78	$16,595.87	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $4,073.80	Facility		$1,659.59	$2,187.76	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,630.27	Professional		$1,318.26	$1,778.28	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,398.83 / $4,677.35	Professional		$2,187.76	$2,398.83	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $6,025.60	Facility		$1,548.82	$2,187.76	$6,025.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,290.87 / $3,890.45	Professional		$79.43	$2,290.87	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $933.25 / $2,187.76	Facility		$794.33	$933.25	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,513.56	Professional		$933.25	$933.25	$1,513.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $2,187.76 / $2,187.76	Professional		$501.19	$2,187.76	$2,187.76