Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.00 / $3,682.00 / $12,826.00	Facility		$1,004.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,694.80 / $2,069.88 / $3,234.06	Professional		$1,694.80	$2,069.88	$3,234.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,882.81 / $2,383.17 / $3,247.52	Professional		$1,882.81	$2,383.17	$3,247.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,791.99 / $1,840.76	Facility		$80.00	$1,791.99	$1,840.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,322.98 / $2,322.98 / $2,322.98	Facility		$2,322.98	$2,322.98	$2,322.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.40 / $2,533.19 / $3,882.65	Professional		$1,667.40	$2,533.19	$3,882.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,646.83	Facility		$55.00	$55.00	$25,646.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,693.84 / $14,998.96 / $17,530.43	Professional		$14,693.84	$14,998.96	$17,530.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,144.90 / $2,088.23 / $3,412.20	Facility		$1,144.90	$2,088.23	$3,412.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,506.44 / $3,007.74 / $3,729.60	Professional		$2,506.44	$3,007.74	$3,729.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,120.77 / $2,376.58 / $3,503.57	Professional		$2,120.77	$2,376.58	$3,503.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,150.19 / $2,093.91 / $3,537.26	Facility		$1,150.19	$2,093.91	$3,537.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,708.78 / $2,721.51 / $4,244.22	Professional		$1,708.78	$2,721.51	$4,244.22
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 $1,495.95 / $2,110.75 / $3,307.61	Professional		$1,495.95	$2,110.75	$3,307.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,711.34 / $1,949.83 / $2,694.07	Professional		$1,711.34	$1,949.83	$2,694.07