Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,570.00 / $10,893.00	Facility		$945.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.90 / $1,505.81 / $2,273.06	Professional		$1,340.90	$1,505.81	$2,273.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,487.35 / $2,576.21 / $13,384.00	Facility		$1,487.35	$2,576.21	$13,384.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,301.03 / $1,614.60 / $2,318.82	Professional		$1,301.03	$1,614.60	$2,318.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,357.69 / $1,357.69 / $1,411.58	Facility		$1,357.69	$1,357.69	$1,411.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,358.95 / $1,947.00 / $2,994.93	Professional		$1,358.95	$1,947.00	$2,994.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $26,049.92	Facility		$55.00	$55.00	$26,049.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,215.36 / $10,471.12 / $12,465.23	Professional		$10,215.36	$10,471.12	$12,465.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,290.58 / $1,677.49 / $3,093.21	Facility		$1,290.58	$1,677.49	$3,093.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,623.34 / $2,159.75 / $2,540.88	Professional		$1,623.34	$2,159.75	$2,540.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,728.00 / $3,617.90	Professional		$15.00	$1,728.00	$3,617.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,293.71 / $1,706.23 / $3,342.40	Facility		$1,293.71	$1,706.23	$3,342.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,425.00 / $2,046.37 / $3,613.68	Professional		$1,425.00	$2,046.37	$3,613.68
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,207.66 / $1,614.67 / $2,508.63	Professional		$1,207.66	$1,614.67	$2,508.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,204.76 / $1,399.88 / $1,887.18	Professional		$1,204.76	$1,399.88	$1,887.18