Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,511.00 / $12,480.00	Facility		$969.00	$3,511.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,444.31 / $1,726.97 / $2,734.44	Professional		$1,444.31	$1,726.97	$2,734.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,703.97 / $2,968.21 / $10,256.00	Facility		$1,703.97	$2,968.21	$10,256.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,383.60 / $1,808.18 / $2,698.03	Professional		$1,383.60	$1,808.18	$2,698.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,492.94 / $1,513.04	Facility		$80.00	$1,492.94	$1,513.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,910.77 / $1,910.77 / $1,910.77	Facility		$1,910.77	$1,910.77	$1,910.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,624.24 / $2,259.69 / $3,450.53	Professional		$1,624.24	$2,259.69	$3,450.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $15,574.48	Facility		$55.00	$55.00	$15,574.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,973.86 / $14,973.86 / $14,973.86	Professional		$14,973.86	$14,973.86	$14,973.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,603.37 / $1,956.89 / $3,707.68	Facility		$1,603.37	$1,956.89	$3,707.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,066.54 / $2,479.85 / $3,075.01	Professional		$2,066.54	$2,479.85	$3,075.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,731.10 / $1,731.10 / $1,731.10	Professional		$1,731.10	$1,731.10	$1,731.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,608.44 / $1,972.89 / $3,862.80	Facility		$1,608.44	$1,972.89	$3,862.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,702.80 / $2,348.81 / $3,556.64	Professional		$1,702.80	$2,348.81	$3,556.64
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 $1,365.65 / $1,812.77 / $2,876.87	Professional		$1,365.65	$1,812.77	$2,876.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,410.98 / $1,608.44 / $2,236.90	Professional		$1,410.98	$1,608.44	$2,236.90