Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,570.00 / $14,553.03	Facility		$803.00	$3,570.00	$14,553.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,748.09 / $1,999.50 / $2,394.76	Professional		$1,748.09	$1,999.50	$2,394.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,844.67 / $3,143.47 / $15,728.67	Facility		$1,844.67	$3,143.47	$15,728.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,629.49 / $2,063.07 / $2,873.58	Professional		$1,629.49	$2,063.07	$2,873.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,664.94 / $1,664.94 / $1,664.94	Facility		$1,664.94	$1,664.94	$1,664.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,845.36 / $2,430.94 / $3,805.45	Professional		$1,845.36	$2,430.94	$3,805.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $51,802.66	Facility		$55.00	$55.00	$51,802.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,307.00 / $21,307.00 / $21,307.00	Professional		$21,307.00	$21,307.00	$21,307.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,845.36 / $2,358.56 / $4,961.78	Facility		$1,845.36	$2,358.56	$4,961.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,245.07 / $2,590.46 / $3,022.22	Professional		$2,245.07	$2,590.46	$3,022.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,964.10 / $2,964.10 / $2,964.10	Professional		$2,964.10	$2,964.10	$2,964.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,845.36 / $2,398.96 / $4,961.78	Facility		$1,845.36	$2,398.96	$4,961.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,845.36 / $2,481.90 / $4,046.12	Professional		$1,845.36	$2,481.90	$4,046.12
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,503.06 / $1,983.39 / $3,186.57	Professional		$1,503.06	$1,983.39	$3,186.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,473.93 / $1,685.68 / $2,309.23	Professional		$1,473.93	$1,685.68	$2,309.23