Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,682.00 / $12,826.00	Facility		$1,002.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,100.47 / $1,332.75 / $2,235.44	Professional		$1,100.47	$1,332.75	$2,235.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,209.65 / $1,531.13 / $2,086.44	Professional		$1,209.65	$1,531.13	$2,086.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,143.19 / $1,164.07	Facility		$80.00	$1,143.19	$1,164.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,480.64 / $1,480.64 / $1,480.64	Facility		$1,480.64	$1,480.64	$1,480.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.15 / $1,656.69 / $2,529.64	Professional		$1,245.15	$1,656.69	$2,529.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $21,023.52	Facility		$55.00	$55.00	$21,023.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,908.28 / $9,908.28 / $11,198.70	Professional		$9,908.28	$9,908.28	$11,198.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,246.99 / $1,587.08 / $2,433.56	Facility		$1,246.99	$1,587.08	$2,433.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.43 / $1,930.11 / $2,393.34	Professional		$1,608.43	$1,930.11	$2,393.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,558.80 / $1,558.80 / $1,558.80	Professional		$1,558.80	$1,558.80	$1,558.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,248.84 / $1,592.78 / $2,559.82	Facility		$1,248.84	$1,592.78	$2,559.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,256.41 / $1,746.41 / $2,627.10	Professional		$1,256.41	$1,746.41	$2,627.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,002.52 / $1,331.22 / $2,110.42	Professional		$1,002.52	$1,331.22	$2,110.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,098.19 / $1,248.84 / $1,732.74	Professional		$1,098.19	$1,248.84	$1,732.74