Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $3,620.00 / $12,480.00	Facility		$1,086.00	$3,620.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,765.13 / $1,989.63 / $3,279.71	Professional		$1,765.13	$1,989.63	$3,279.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,801.95 / $2,269.03 / $3,218.79	Professional		$1,801.95	$2,269.03	$3,218.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,641.32 / $1,669.57	Facility		$80.00	$1,641.32	$1,669.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,204.04 / $2,204.04 / $2,204.04	Facility		$2,204.04	$2,204.04	$2,204.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,963.90 / $2,632.18 / $4,079.68	Professional		$1,963.90	$2,632.18	$4,079.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,685.75	Facility		$55.00	$55.00	$17,685.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,633.29 / $19,633.29 / $19,633.29	Professional		$19,633.29	$19,633.29	$19,633.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,884.53 / $2,573.16 / $4,305.49	Facility		$1,884.53	$2,573.16	$4,305.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,359.67 / $2,831.61 / $3,511.20	Professional		$2,359.67	$2,831.61	$3,511.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,519.00 / $2,519.00 / $2,519.00	Professional		$2,519.00	$2,519.00	$2,519.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,886.00 / $2,587.39 / $4,415.45	Facility		$1,886.00	$2,587.39	$4,415.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,973.03 / $2,746.10 / $4,144.58	Professional		$1,973.03	$2,746.10	$4,144.58
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 $1,617.97 / $2,161.51 / $3,438.18	Professional		$1,617.97	$2,161.51	$3,438.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,611.13 / $1,837.97 / $2,546.10	Professional		$1,611.13	$1,837.97	$2,546.10