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 / $12,826.00	Facility		$969.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.65 / $1,121.38 / $1,805.20	Professional		$944.65	$1,121.38	$1,805.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $903.90 / $1,153.68 / $1,781.74	Professional		$903.90	$1,153.68	$1,781.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,132.06 / $1,173.14	Facility		$80.00	$1,132.06	$1,173.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,303.43 / $1,303.43 / $1,303.43	Facility		$1,303.43	$1,303.43	$1,303.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,078.93 / $1,455.66 / $2,190.37	Professional		$1,078.93	$1,455.66	$2,190.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,264.69	Facility		$55.00	$55.00	$14,264.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,990.48 / $8,158.32 / $10,254.08	Professional		$7,990.48	$8,158.32	$10,254.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,031.13 / $1,259.09 / $1,989.80	Facility		$1,031.13	$1,259.09	$1,989.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,416.78 / $1,700.13 / $2,108.16	Professional		$1,416.78	$1,700.13	$2,108.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,183.30 / $1,183.30 / $1,183.30	Professional		$1,183.30	$1,183.30	$1,183.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,035.94 / $1,259.09 / $2,035.76	Facility		$1,035.94	$1,259.09	$2,035.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,108.05 / $1,496.57 / $2,259.69	Professional		$1,108.05	$1,496.57	$2,259.69
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 $874.27 / $1,165.69 / $1,806.82	Professional		$874.27	$1,165.69	$1,806.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $967.34 / $1,094.06 / $1,510.47	Professional		$967.34	$1,094.06	$1,510.47