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 $1,217.86 / $1,370.87 / $2,091.84	Professional		$1,217.86	$1,370.87	$2,091.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,324.97 / $2,231.54 / $6,750.40	Facility		$1,324.97	$2,231.54	$6,750.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,228.43 / $1,554.89 / $2,126.80	Professional		$1,228.43	$1,554.89	$2,126.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,222.70 / $1,222.70 / $1,269.70	Facility		$1,222.70	$1,222.70	$1,269.70
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 $1,270.25 / $1,744.68 / $2,734.45	Professional		$1,270.25	$1,744.68	$2,734.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,045.44	Facility		$55.00	$55.00	$12,045.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,431.20 / $9,644.56 / $11,536.05	Professional		$9,431.20	$9,644.56	$11,536.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,269.19 / $1,579.76 / $2,711.55	Facility		$1,269.19	$1,579.76	$2,711.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.21 / $1,995.93 / $2,348.15	Professional		$1,500.21	$1,995.93	$2,348.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,805.04 / $3,363.10	Professional		$7.00	$1,805.04	$3,363.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,269.19 / $1,587.81 / $3,032.79	Facility		$1,269.19	$1,587.81	$3,032.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,319.33 / $1,853.57 / $3,329.13	Professional		$1,319.33	$1,853.57	$3,329.13
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 $1,054.54 / $1,453.06 / $2,298.89	Professional		$1,054.54	$1,453.06	$2,298.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,113.38 / $1,293.71 / $1,745.25	Professional		$1,113.38	$1,293.71	$1,745.25