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 $2,043.26 / $2,331.98 / $3,899.69	Professional		$2,043.26	$2,331.98	$3,899.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,054.01 / $2,598.40 / $3,531.36	Professional		$2,054.01	$2,598.40	$3,531.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,963.18 / $2,007.61	Facility		$80.00	$1,963.18	$2,007.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,592.29 / $2,592.29 / $2,592.29	Facility		$2,592.29	$2,592.29	$2,592.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,247.44 / $3,096.95 / $4,776.49	Professional		$2,247.44	$3,096.95	$4,776.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $20,901.20	Facility		$55.00	$55.00	$20,901.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,431.33 / $21,431.33 / $21,431.33	Professional		$21,431.33	$21,431.33	$21,431.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,218.76 / $2,860.38 / $4,838.10	Facility		$2,218.76	$2,860.38	$4,838.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,800.80 / $3,360.96 / $4,167.59	Professional		$2,800.80	$3,360.96	$4,167.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,910.40 / $2,910.40 / $2,910.40	Professional		$2,910.40	$2,910.40	$2,910.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,222.17 / $2,872.02 / $5,090.17	Facility		$2,222.17	$2,872.02	$5,090.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,325.27 / $3,228.67 / $4,883.31	Professional		$2,325.27	$3,228.67	$4,883.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $6,566.00 / $13,134.00	Facility		$2,211.00	$6,566.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,818.65 / $2,506.42 / $3,964.89	Professional		$1,818.65	$2,506.42	$3,964.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,912.32 / $2,178.60 / $3,015.21	Professional		$1,912.32	$2,178.60	$3,015.21