Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $3,620.00 / $12,040.00	Facility		$1,077.00	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.58 / $1,250.19 / $1,635.05	Professional		$1,040.58	$1,250.19	$1,635.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $922.67 / $1,227.16 / $1,839.55	Professional		$922.67	$1,227.16	$1,839.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $975.52 / $975.52 / $975.52	Facility		$975.52	$975.52	$975.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,946.53 / $5,946.53 / $5,946.53	Facility		$5,946.53	$5,946.53	$5,946.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.59 / $1,460.85 / $2,286.34	Professional		$1,116.59	$1,460.85	$2,286.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,090.00 / $8,358.56 / $9,422.10	Professional		$8,090.00	$8,358.56	$9,422.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,086.79 / $1,412.83 / $2,376.00	Facility		$1,086.79	$1,412.83	$2,376.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,416.26 / $1,666.83 / $1,960.97	Professional		$1,416.26	$1,666.83	$1,960.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,317.10 / $1,317.10 / $1,317.10	Professional		$1,317.10	$1,317.10	$1,317.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,086.79 / $1,441.81 / $2,754.53	Facility		$1,086.79	$1,441.81	$2,754.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,125.72 / $1,487.46 / $2,357.07	Professional		$1,125.72	$1,487.46	$2,357.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $902.53 / $1,226.95 / $1,917.87	Professional		$902.53	$1,226.95	$1,917.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $929.80 / $1,054.68 / $1,471.54	Professional		$929.80	$1,054.68	$1,471.54