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 $1,462.09 / $1,618.07 / $2,449.64	Professional		$1,462.09	$1,618.07	$2,449.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,627.71 / $2,643.92 / $6,834.27	Facility		$1,627.71	$2,643.92	$6,834.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,011.70 / $1,702.89 / $2,478.23	Professional		$1,011.70	$1,702.89	$2,478.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,447.95 / $1,447.95 / $1,510.79	Facility		$1,447.95	$1,447.95	$1,510.79
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 $1,560.00 / $2,152.71 / $3,320.68	Professional		$1,560.00	$2,152.71	$3,320.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $28,002.08	Facility		$55.00	$55.00	$28,002.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,327.05 / $12,696.87 / $13,413.98	Professional		$12,327.05	$12,696.87	$13,413.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,503.02 / $2,027.99 / $3,467.25	Facility		$1,503.02	$2,027.99	$3,467.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,746.47 / $2,323.57 / $2,733.61	Professional		$1,746.47	$2,323.57	$2,733.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $2,889.70 / $3,887.60	Professional		$15.00	$2,889.70	$3,887.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,503.02 / $2,048.48 / $3,621.66	Facility		$1,503.02	$2,048.48	$3,621.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,620.46 / $2,268.90 / $3,901.10	Professional		$1,620.46	$2,268.90	$3,901.10
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 $1,333.01 / $1,796.96 / $2,832.64	Professional		$1,333.01	$1,796.96	$2,832.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,296.14 / $1,505.73 / $2,029.08	Professional		$1,296.14	$1,505.73	$2,029.08