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 $1,808.05 / $2,063.54 / $3,211.89	Professional		$1,808.05	$2,063.54	$3,211.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,887.85 / $2,401.78 / $3,678.26	Professional		$1,887.85	$2,401.78	$3,678.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,763.23 / $1,797.85	Facility		$80.00	$1,763.23	$1,797.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,293.52 / $2,293.52 / $2,293.52	Facility		$2,293.52	$2,293.52	$2,293.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,950.22 / $2,682.87 / $3,981.94	Professional		$1,950.22	$2,682.87	$3,981.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $18,574.96	Facility		$55.00	$55.00	$18,574.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,663.12 / $14,951.28 / $17,323.50	Professional		$14,663.12	$14,951.28	$17,323.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,932.74 / $2,410.91 / $3,852.00	Facility		$1,932.74	$2,410.91	$3,852.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,487.85 / $2,985.42 / $3,701.92	Professional		$2,487.85	$2,985.42	$3,701.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,236.50 / $2,236.50 / $2,236.50	Professional		$2,236.50	$2,236.50	$2,236.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,936.14 / $2,423.56 / $3,897.13	Facility		$1,936.14	$2,423.56	$3,897.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,042.23 / $2,804.81 / $4,231.22	Professional		$2,042.23	$2,804.81	$4,231.22
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 $1,602.92 / $2,150.16 / $3,447.35	Professional		$1,602.92	$2,150.16	$3,447.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,698.64 / $1,932.74 / $2,679.41	Professional		$1,698.64	$1,932.74	$2,679.41