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 $1,420.47 / $1,624.83 / $2,640.94	Professional		$1,420.47	$1,624.83	$2,640.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,644.42 / $2,746.35 / $11,256.66	Facility		$1,644.42	$2,746.35	$11,256.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,388.27 / $1,406.28	Facility		$80.00	$1,388.27	$1,406.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,772.98 / $1,772.98 / $1,772.98	Facility		$1,772.98	$1,772.98	$1,772.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,581.40 / $2,153.91 / $3,319.02	Professional		$1,581.40	$2,153.91	$3,319.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,469.20	Facility		$55.00	$55.00	$14,469.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,979.34 / $12,979.34 / $13,125.98	Professional		$12,979.34	$12,979.34	$13,125.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,534.54 / $2,008.61 / $3,097.86	Facility		$1,534.54	$2,008.61	$3,097.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,919.76 / $2,303.71 / $2,856.61	Professional		$1,919.76	$2,303.71	$2,856.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,127.00 / $2,127.00 / $2,127.00	Professional		$2,127.00	$2,127.00	$2,127.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,535.35 / $2,011.90 / $3,164.68	Facility		$1,535.35	$2,011.90	$3,164.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,584.03 / $2,233.21 / $3,342.12	Professional		$1,584.03	$2,233.21	$3,342.12
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 $1,279.30 / $1,740.48 / $2,710.34	Professional		$1,279.30	$1,740.48	$2,710.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,310.77 / $1,493.82 / $2,078.15	Professional		$1,310.77	$1,493.82	$2,078.15