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 $1,105.97 / $1,262.25 / $2,036.71	Professional		$1,105.97	$1,262.25	$2,036.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,238.01 / $2,137.19 / $9,474.04	Facility		$1,238.01	$2,137.19	$9,474.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,149.94 / $1,455.55 / $1,983.44	Professional		$1,149.94	$1,455.55	$1,983.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,262.25 / $1,291.41	Facility		$80.00	$1,262.25	$1,291.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,413.76 / $1,413.76 / $1,413.76	Facility		$1,413.76	$1,413.76	$1,413.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,210.83 / $1,654.08 / $2,559.23	Professional		$1,210.83	$1,654.08	$2,559.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,560.79	Facility		$55.00	$55.00	$8,560.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,988.16 / $9,168.87 / $10,716.75	Professional		$8,988.16	$9,168.87	$10,716.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,154.06 / $1,436.55 / $2,412.84	Facility		$1,154.06	$1,436.55	$2,412.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,532.41 / $1,838.90 / $2,280.23	Professional		$1,532.41	$1,838.90	$2,280.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,354.90 / $2,081.03 / $2,164.07	Professional		$1,354.90	$2,081.03	$2,164.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,166.08 / $1,443.09 / $2,430.00	Facility		$1,166.08	$1,443.09	$2,430.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,263.40 / $1,701.98 / $2,588.21	Professional		$1,263.40	$1,701.98	$2,588.21
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 $979.02 / $1,347.33 / $2,074.94	Professional		$979.02	$1,347.33	$2,074.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,046.29 / $1,190.24 / $1,648.27	Professional		$1,046.29	$1,190.24	$1,648.27