Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,213.00 / $11,453.00	Facility		$872.00	$3,213.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,664.50 / $1,941.42 / $2,932.48	Professional		$1,664.50	$1,941.42	$2,932.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.96 / $1,106.36 / $3,971.41	Facility		$655.96	$1,106.36	$3,971.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,689.82 / $2,100.46 / $2,914.64	Professional		$1,689.82	$2,100.46	$2,914.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,823.37 / $1,823.37	Facility		$80.00	$1,823.37	$1,823.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,979.68 / $1,979.68 / $1,979.68	Facility		$1,979.68	$1,979.68	$1,979.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,598.30 / $2,389.44 / $3,776.02	Professional		$1,598.30	$2,389.44	$3,776.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,692.50	Facility		$55.00	$55.00	$9,692.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,257.96 / $13,034.08 / $14,362.05	Professional		$12,257.96	$13,034.08	$14,362.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,551.59 / $1,960.09 / $3,567.35	Facility		$1,551.59	$1,960.09	$3,567.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,042.00 / $2,462.87 / $3,053.95	Professional		$2,042.00	$2,462.87	$3,053.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,682.07 / $2,276.39 / $3,976.75	Professional		$1,682.07	$2,276.39	$3,976.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,551.59 / $1,976.68 / $3,916.65	Facility		$1,551.59	$1,976.68	$3,916.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,647.23 / $2,581.46 / $3,995.76	Professional		$1,647.23	$2,581.46	$3,995.76
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,510.49 / $2,013.99 / $3,121.68	Professional		$1,510.49	$2,013.99	$3,121.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,401.32 / $1,551.59 / $2,231.92	Professional		$1,401.32	$1,551.59	$2,231.92