Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,688.71 / $3,284.59 / $5,185.79	Professional		$2,688.71	$3,284.59	$5,185.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,967.74 / $3,454.11 / $5,032.63	Professional		$2,967.74	$3,454.11	$5,032.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,834.08 / $2,913.49	Facility		$80.00	$2,834.08	$2,913.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,686.20 / $3,686.20 / $3,686.20	Facility		$3,686.20	$3,686.20	$3,686.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,095.09 / $4,324.82 / $6,497.23	Professional		$3,095.09	$4,324.82	$6,497.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,865.56	Facility		$55.00	$55.00	$25,865.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,142.49 / $27,142.49 / $27,781.65	Professional		$27,142.49	$27,142.49	$27,781.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,091.06 / $4,018.38 / $6,106.12	Facility		$3,091.06	$4,018.38	$6,106.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,972.55 / $4,767.06 / $5,911.15	Professional		$3,972.55	$4,767.06	$5,911.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,880.80 / $4,880.80 / $4,880.80	Professional		$4,880.80	$4,880.80	$4,880.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,091.06 / $4,032.77 / $6,457.93	Facility		$3,091.06	$4,032.77	$6,457.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,229.27 / $4,471.67 / $6,684.47	Professional		$3,229.27	$4,471.67	$6,684.47
United Facility/Professional Facility Modifier Low / Median / High Price $4,738.00 / $10,281.00 / $21,039.00	Facility		$4,738.00	$10,281.00	$21,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,563.54 / $3,418.05 / $5,454.86	Professional		$2,563.54	$3,418.05	$5,454.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,712.36 / $3,091.06 / $4,269.66	Professional		$2,712.36	$3,091.06	$4,269.66