Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,300.00 / $8,760.00 / $24,550.00	Facility		$3,300.00	$8,760.00	$24,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,800.00 / $3,700.00 / $5,000.00	Professional		$2,800.00	$3,700.00	$5,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $657.70 / $1,716.00 / $3,216.76	Facility		$657.70	$1,716.00	$3,216.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,250.00 / $5,000.00 / $5,000.00	Professional		$4,250.00	$5,000.00	$5,000.00
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 $3,250.00 / $11,734.78 / $22,277.73	Facility		$3,250.00	$11,734.78	$22,277.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,089.96 / $6,089.96 / $7,296.46	Professional		$6,089.96	$6,089.96	$7,296.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,000.00 / $23,750.00 / $23,750.00	Facility		$8,000.00	$23,750.00	$23,750.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,900.00 / $24,900.00 / $37,500.00	Professional		$24,900.00	$24,900.00	$37,500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,000.00 / $5,000.00 / $7,318.20	Facility		$3,000.00	$5,000.00	$7,318.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $6,250.00	Professional		$5,000.00	$5,000.00	$6,250.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,500.00 / $6,250.00 / $11,250.00	Professional		$4,500.00	$6,250.00	$11,250.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,409.35 / $11,576.03 / $26,505.28	Facility		$3,409.35	$11,576.03	$26,505.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,725.12 / $6,050.00 / $8,750.00	Professional		$4,725.12	$6,050.00	$8,750.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,100.00 / $3,200.00	Professional		$2,100.00	$2,100.00	$3,200.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $5,000.00	Professional		$2,000.00	$2,000.00	$5,000.00