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 $1,379.11 / $1,618.21 / $2,728.62	Professional		$1,379.11	$1,618.21	$2,728.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,599.27 / $2,780.27 / $13,828.51	Facility		$1,599.27	$2,780.27	$13,828.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,403.60 / $1,441.14	Facility		$80.00	$1,403.60	$1,441.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.97 / $1,815.97 / $1,815.97	Facility		$1,815.97	$1,815.97	$1,815.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,575.95 / $2,110.21 / $3,298.72	Professional		$1,575.95	$2,110.21	$3,298.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,763.03	Facility		$55.00	$55.00	$12,763.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,622.57 / $11,728.96 / $13,705.35	Professional		$11,622.57	$11,728.96	$13,705.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,540.73 / $1,995.35 / $3,082.81	Facility		$1,540.73	$1,995.35	$3,082.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,959.79 / $2,351.75 / $2,916.16	Professional		$1,959.79	$2,351.75	$2,916.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,571.10 / $2,665.35 / $3,249.07	Professional		$1,571.10	$2,665.35	$3,249.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,541.15 / $2,013.41 / $3,185.96	Facility		$1,541.15	$2,013.41	$3,185.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,589.84 / $2,183.41 / $3,330.00	Professional		$1,589.84	$2,183.41	$3,330.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,027.00 / $20,955.00	Facility		$4,600.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,281.99 / $1,727.44 / $2,748.21	Professional		$1,281.99	$1,727.44	$2,748.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,338.10 / $1,524.37 / $2,106.69	Professional		$1,338.10	$1,524.37	$2,106.69