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 $1,540.81 / $1,758.54 / $2,943.92	Professional		$1,540.81	$1,758.54	$2,943.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,409.74 / $1,874.95 / $2,810.62	Professional		$1,409.74	$1,874.95	$2,810.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,492.33 / $1,523.50	Facility		$80.00	$1,492.33	$1,523.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,952.89 / $1,952.89 / $1,952.89	Facility		$1,952.89	$1,952.89	$1,952.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,692.96 / $2,328.46 / $3,573.32	Professional		$1,692.96	$2,328.46	$3,573.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $15,794.00	Facility		$55.00	$55.00	$15,794.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,470.88 / $12,714.80 / $14,731.43	Professional		$12,470.88	$12,714.80	$14,731.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,655.34 / $2,124.53 / $3,236.67	Facility		$1,655.34	$2,124.53	$3,236.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,115.86 / $2,539.04 / $3,148.40	Professional		$2,115.86	$2,539.04	$3,148.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,123.69 / $2,123.69 / $2,123.69	Professional		$2,123.69	$2,123.69	$2,123.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,673.71 / $2,138.05 / $3,410.42	Facility		$1,673.71	$2,138.05	$3,410.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,754.18 / $2,426.96 / $3,637.32	Professional		$1,754.18	$2,426.96	$3,637.32
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 $1,367.17 / $1,822.89 / $2,885.76	Professional		$1,367.17	$1,822.89	$2,885.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,444.66 / $1,644.65 / $2,278.35	Professional		$1,444.66	$1,644.65	$2,278.35