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 $1,352.83 / $1,520.38 / $2,294.01	Professional		$1,352.83	$1,520.38	$2,294.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,345.09 / $1,702.55 / $2,372.04	Professional		$1,345.09	$1,702.55	$2,372.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,369.59 / $1,369.59 / $1,423.38	Facility		$1,369.59	$1,369.59	$1,423.38
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 $1,459.27 / $1,982.63 / $3,083.12	Professional		$1,459.27	$1,982.63	$3,083.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $26,286.56	Facility		$55.00	$55.00	$26,286.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,702.45 / $10,702.45 / $12,575.70	Professional		$10,702.45	$10,702.45	$12,575.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,405.95 / $1,846.65 / $3,193.82	Facility		$1,405.95	$1,846.65	$3,193.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,637.85 / $2,179.06 / $2,563.60	Professional		$1,637.85	$2,179.06	$2,563.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,627.60 / $3,652.90	Professional		$15.00	$2,627.60	$3,652.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,410.55 / $1,872.60 / $3,364.37	Facility		$1,410.55	$1,872.60	$3,364.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,514.88 / $2,109.64 / $3,642.87	Professional		$1,514.88	$2,109.64	$3,642.87
United Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $2,502.00 / $9,187.00	Facility		$445.00	$2,502.00	$9,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,239.18 / $1,676.99 / $2,601.57	Professional		$1,239.18	$1,676.99	$2,601.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,215.53 / $1,412.44 / $1,904.24	Professional		$1,215.53	$1,412.44	$1,904.24