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 $1,224.29 / $1,379.62 / $2,078.80	Professional		$1,224.29	$1,379.62	$2,078.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,209.66 / $1,443.51 / $2,128.08	Professional		$1,209.66	$1,443.51	$2,128.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,252.68 / $1,252.68 / $1,298.29	Facility		$1,252.68	$1,252.68	$1,298.29
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 $1,326.75 / $1,779.67 / $2,735.56	Professional		$1,326.75	$1,779.67	$2,735.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $23,862.08	Facility		$55.00	$55.00	$23,862.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,355.76 / $9,581.52 / $11,404.43	Professional		$9,355.76	$9,581.52	$11,404.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,270.58 / $1,621.48 / $2,822.96	Facility		$1,270.58	$1,621.48	$2,822.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,485.71 / $1,976.64 / $2,325.46	Professional		$1,485.71	$1,976.64	$2,325.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,794.70 / $3,314.50	Professional		$15.00	$1,794.70	$3,314.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,270.58 / $1,637.84 / $3,037.48	Facility		$1,270.58	$1,637.84	$3,037.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,374.12 / $1,870.50 / $3,300.91	Professional		$1,374.12	$1,870.50	$3,300.91
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 $1,119.06 / $1,469.75 / $2,354.23	Professional		$1,119.06	$1,469.75	$2,354.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,102.60 / $1,281.49 / $1,728.26	Professional		$1,102.60	$1,281.49	$1,728.26