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 $2,167.13 / $2,507.98 / $4,193.18	Professional		$2,167.13	$2,507.98	$4,193.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,941.13 / $2,477.54 / $4,006.41	Professional		$1,941.13	$2,477.54	$4,006.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,108.01 / $2,156.71	Facility		$80.00	$2,108.01	$2,156.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,789.24 / $2,789.24 / $2,789.24	Facility		$2,789.24	$2,789.24	$2,789.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,417.53 / $3,279.12 / $5,045.47	Professional		$2,417.53	$3,279.12	$5,045.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $22,469.44	Facility		$55.00	$55.00	$22,469.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,227.73 / $23,227.73 / $23,227.73	Professional		$23,227.73	$23,227.73	$23,227.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,389.41 / $3,086.92 / $5,108.82	Facility		$2,389.41	$3,086.92	$5,108.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,011.05 / $3,613.26 / $4,480.43	Professional		$3,011.05	$3,613.26	$4,480.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,037.30 / $3,037.30 / $3,037.30	Professional		$3,037.30	$3,037.30	$3,037.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,389.41 / $3,100.72 / $5,479.85	Facility		$2,389.41	$3,100.72	$5,479.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,448.94 / $3,475.46 / $5,175.22	Professional		$2,448.94	$3,475.46	$5,175.22
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 $1,942.09 / $2,610.00 / $4,123.80	Professional		$1,942.09	$2,610.00	$4,123.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,055.87 / $2,342.56 / $3,241.43	Professional		$2,055.87	$2,342.56	$3,241.43