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 $1,606.80 / $1,788.84 / $3,015.29	Professional		$1,606.80	$1,788.84	$3,015.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,349.94 / $2,304.16 / $4,472.79	Facility		$1,349.94	$2,304.16	$4,472.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,636.42 / $2,509.10 / $4,634.04	Professional		$1,636.42	$2,509.10	$4,634.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,564.67 / $1,602.52	Facility		$80.00	$1,564.67	$1,602.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,004.00 / $2,004.00 / $2,004.00	Facility		$2,004.00	$2,004.00	$2,004.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,799.62 / $2,419.35 / $3,777.77	Professional		$1,799.62	$2,419.35	$3,777.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,128.52	Facility		$55.00	$55.00	$14,128.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,814.83 / $16,814.83 / $16,822.84	Professional		$16,814.83	$16,814.83	$16,822.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,725.30 / $2,472.58 / $3,910.48	Facility		$1,725.30	$2,472.58	$3,910.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,168.03 / $2,601.63 / $3,226.02	Professional		$2,168.03	$2,601.63	$3,226.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,036.50 / $3,036.50 / $3,036.50	Professional		$3,036.50	$3,036.50	$3,036.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,725.30 / $2,505.98 / $3,910.48	Facility		$1,725.30	$2,505.98	$3,910.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,816.64 / $2,526.79 / $3,788.74	Professional		$1,816.64	$2,526.79	$3,788.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,450.00 / $1,941.69 / $3,138.00	Professional		$1,450.00	$1,941.69	$3,138.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,480.28 / $1,684.52 / $2,331.69	Professional		$1,480.28	$1,684.52	$2,331.69