Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,190.92 / $1,398.09 / $2,155.17	Professional		$1,190.92	$1,398.09	$2,155.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,116.25 / $1,484.61 / $2,225.48	Professional		$1,116.25	$1,484.61	$2,225.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,218.83 / $1,233.09	Facility		$80.00	$1,218.83	$1,233.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,534.81 / $1,534.81 / $1,534.81	Facility		$1,534.81	$1,534.81	$1,534.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,274.74 / $1,792.30 / $2,619.48	Professional		$1,274.74	$1,792.30	$2,619.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,547.20	Facility		$55.00	$55.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,907.82 / $14,907.82 / $14,907.82	Professional		$14,907.82	$14,907.82	$14,907.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,217.46 / $1,526.72 / $2,815.00	Facility		$1,217.46	$1,526.72	$2,815.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,668.28 / $2,001.93 / $2,482.39	Professional		$1,668.28	$2,001.93	$2,482.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,456.60 / $1,456.60 / $1,456.60	Professional		$1,456.60	$1,456.60	$1,456.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,217.98 / $1,530.55 / $2,997.58	Facility		$1,217.98	$1,530.55	$2,997.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,291.89 / $1,857.19 / $2,804.37	Professional		$1,291.89	$1,857.19	$2,804.37
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 $1,085.39 / $1,420.41 / $2,243.14	Professional		$1,085.39	$1,420.41	$2,243.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,139.06 / $1,291.89 / $1,798.90	Professional		$1,139.06	$1,291.89	$1,798.90