Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,018.36 / $3,647.00 / $12,480.00	Facility		$1,018.36	$3,647.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.75 / $1,239.97 / $1,936.90	Professional		$1,042.75	$1,239.97	$1,936.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,084.66 / $9,152.37 / $18,389.06	Facility		$5,084.66	$9,152.37	$18,389.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.92 / $1,368.18 / $1,948.40	Professional		$1,121.92	$1,368.18	$1,948.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,097.43 / $1,120.44	Facility		$80.00	$1,097.43	$1,120.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,387.75 / $1,387.75 / $1,387.75	Facility		$1,387.75	$1,387.75	$1,387.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,177.06 / $1,614.88 / $2,423.11	Professional		$1,177.06	$1,614.88	$2,423.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,239.65	Facility		$55.00	$55.00	$25,239.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,845.20 / $9,021.60 / $10,541.78	Professional		$8,845.20	$9,021.60	$10,541.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,156.84 / $1,403.90 / $2,339.59	Facility		$1,156.84	$1,403.90	$2,339.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,507.35 / $1,808.82 / $2,242.94	Professional		$1,507.35	$1,808.82	$2,242.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,321.53 / $2,013.21 / $4,403.08	Professional		$1,321.53	$2,013.21	$4,403.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,157.31 / $1,446.05 / $2,473.03	Facility		$1,157.31	$1,446.05	$2,473.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,231.97 / $1,668.85 / $2,540.29	Professional		$1,231.97	$1,668.85	$2,540.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $956.56 / $1,311.67 / $2,042.30	Professional		$956.56	$1,311.67	$2,042.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,029.18 / $1,169.77 / $1,621.88	Professional		$1,029.18	$1,169.77	$1,621.88