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 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,438.49 / $1,641.76 / $2,704.63	Professional		$1,438.49	$1,641.76	$2,704.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,741.31 / $3,144.50 / $7,585.61	Facility		$1,741.31	$3,144.50	$7,585.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,493.75 / $1,890.73 / $2,576.46	Professional		$1,493.75	$1,890.73	$2,576.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,431.90 / $1,466.83	Facility		$80.00	$1,431.90	$1,466.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,838.16 / $1,838.16 / $1,838.16	Facility		$1,838.16	$1,838.16	$1,838.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,608.91 / $2,170.71 / $3,358.80	Professional		$1,608.91	$2,170.71	$3,358.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $29,619.84	Facility		$55.00	$55.00	$29,619.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,468.63 / $14,468.63 / $14,468.63	Professional		$14,468.63	$14,468.63	$14,468.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,557.34 / $1,996.96 / $3,209.40	Facility		$1,557.34	$1,996.96	$3,209.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,988.90 / $2,386.67 / $2,959.48	Professional		$1,988.90	$2,386.67	$2,959.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,717.39 / $1,899.18 / $2,650.41	Professional		$1,717.39	$1,899.18	$2,650.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,563.58 / $1,998.58 / $3,257.85	Facility		$1,563.58	$1,998.58	$3,257.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,650.16 / $2,240.71 / $3,371.86	Professional		$1,650.16	$2,240.71	$3,371.86
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 $1,271.89 / $1,746.27 / $2,735.41	Professional		$1,271.89	$1,746.27	$2,735.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,357.97 / $1,545.50 / $2,138.79	Professional		$1,357.97	$1,545.50	$2,138.79