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 $2,333.07 / $2,643.25 / $4,376.05	Professional		$2,333.07	$2,643.25	$4,376.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,105.89 / $2,800.84 / $4,198.56	Professional		$2,105.89	$2,800.84	$4,198.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,169.77 / $2,211.91	Facility		$80.00	$2,169.77	$2,211.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,934.56 / $2,934.56 / $2,934.56	Facility		$2,934.56	$2,934.56	$2,934.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,589.09 / $3,479.01 / $5,362.24	Professional		$2,589.09	$3,479.01	$5,362.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $23,489.68	Facility		$55.00	$55.00	$23,489.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,619.68 / $27,619.68 / $27,619.68	Professional		$27,619.68	$27,619.68	$27,619.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,501.86 / $3,394.74 / $5,737.10	Facility		$2,501.86	$3,394.74	$5,737.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,135.19 / $3,762.23 / $4,665.16	Professional		$3,135.19	$3,762.23	$4,665.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,351.80 / $3,351.80 / $3,351.80	Professional		$3,351.80	$3,351.80	$3,351.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,503.69 / $3,397.03 / $5,872.41	Facility		$2,503.69	$3,397.03	$5,872.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,594.71 / $3,627.44 / $5,438.22	Professional		$2,594.71	$3,627.44	$5,438.22
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 $2,019.04 / $2,696.55 / $4,426.49	Professional		$2,019.04	$2,696.55	$4,426.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,140.63 / $2,444.71 / $3,381.75	Professional		$2,140.63	$2,444.71	$3,381.75