Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $3,774.00 / $13,401.00	Facility		$1,077.00	$3,774.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,869.60 / $2,220.44 / $3,552.00	Professional		$1,869.60	$2,220.44	$3,552.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,020.09 / $2,556.94 / $3,484.30	Professional		$2,020.09	$2,556.94	$3,484.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,925.66 / $1,976.91	Facility		$80.00	$1,925.66	$1,976.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,490.91 / $2,490.91 / $2,490.91	Facility		$2,490.91	$2,490.91	$2,490.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,209.21 / $2,942.10 / $4,584.10	Professional		$2,209.21	$2,942.10	$4,584.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $35,023.24	Facility		$55.00	$55.00	$35,023.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,191.92 / $21,191.92 / $21,191.92	Professional		$21,191.92	$21,191.92	$21,191.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,133.71 / $2,775.94 / $4,455.00	Facility		$2,133.71	$2,775.94	$4,455.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,688.80 / $3,226.56 / $4,000.93	Professional		$2,688.80	$3,226.56	$4,000.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,330.04 / $3,579.08 / $7,889.11	Professional		$2,330.04	$3,579.08	$7,889.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,133.71 / $2,781.23 / $4,536.66	Facility		$2,133.71	$2,781.23	$4,536.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,230.34 / $3,092.72 / $4,668.10	Professional		$2,230.34	$3,092.72	$4,668.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,453.00 / $20,955.00	Facility		$4,600.00	$9,453.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,840.92 / $2,417.04 / $3,777.91	Professional		$1,840.92	$2,417.04	$3,777.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,835.85 / $2,091.17 / $2,890.49	Professional		$1,835.85	$2,091.17	$2,890.49