Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $3,682.00 / $12,480.00	Facility		$1,086.00	$3,682.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,203.90 / $2,506.52 / $4,134.30	Professional		$2,203.90	$2,506.52	$4,134.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,258.33 / $2,858.50 / $3,895.21	Professional		$2,258.33	$2,858.50	$3,895.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,218.90 / $2,269.10	Facility		$80.00	$2,218.90	$2,269.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,764.30 / $2,764.30 / $2,764.30	Facility		$2,764.30	$2,764.30	$2,764.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,473.23 / $3,312.37 / $5,211.07	Professional		$2,473.23	$3,312.37	$5,211.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $24,948.90	Facility		$55.00	$2,000.00	$24,948.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,665.09 / $20,451.70 / $20,500.80	Professional		$19,665.09	$20,451.70	$20,500.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,359.96 / $3,149.97 / $4,859.93	Facility		$2,359.96	$3,149.97	$4,859.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,964.15 / $3,556.98 / $4,410.66	Professional		$2,964.15	$3,556.98	$4,410.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,490.80 / $3,490.80 / $3,490.80	Professional		$3,490.80	$3,490.80	$3,490.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,363.91 / $3,155.01 / $4,984.96	Facility		$2,363.91	$3,155.01	$4,984.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,475.63 / $3,466.14 / $5,221.96	Professional		$2,475.63	$3,466.14	$5,221.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,996.15 / $2,672.99 / $4,264.71	Professional		$1,996.15	$2,672.99	$4,264.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,023.85 / $2,310.28 / $3,194.91	Professional		$2,023.85	$2,310.28	$3,194.91