Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,682.00 / $12,826.00	Facility		$983.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,415.80 / $1,731.60 / $2,790.81	Professional		$1,415.80	$1,731.60	$2,790.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,401.12 / $3,281.53 / $6,393.56	Facility		$1,401.12	$3,281.53	$6,393.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,626.02 / $2,013.24 / $2,823.86	Professional		$1,626.02	$2,013.24	$2,823.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,716.66 / $1,789.10	Facility		$80.00	$1,716.66	$1,789.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,012.44 / $2,012.44 / $2,012.44	Facility		$2,012.44	$2,012.44	$2,012.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,616.17 / $2,171.25 / $3,208.39	Professional		$1,616.17	$2,171.25	$3,208.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $31,969.76	Facility		$55.00	$55.00	$31,969.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,422.40 / $14,422.40 / $15,865.65	Professional		$14,422.40	$14,422.40	$15,865.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,551.32 / $1,939.90 / $3,681.68	Facility		$1,551.32	$1,939.90	$3,681.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.44 / $2,624.93 / $3,254.91	Professional		$2,187.44	$2,624.93	$3,254.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,761.20 / $1,761.20 / $2,937.79	Professional		$1,761.20	$1,761.20	$2,937.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,551.32 / $1,943.70 / $3,751.45	Facility		$1,551.32	$1,943.70	$3,751.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,641.40 / $2,297.96 / $3,473.71	Professional		$1,641.40	$2,297.96	$3,473.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,336.70 / $1,790.87 / $2,814.55	Professional		$1,336.70	$1,790.87	$2,814.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,493.53 / $1,691.40 / $2,329.13	Professional		$1,493.53	$1,691.40	$2,329.13