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 $1,236.30 / $1,365.49 / $1,999.92	Professional		$1,236.30	$1,365.49	$1,999.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,200.48 / $1,529.96 / $2,131.58	Professional		$1,200.48	$1,529.96	$2,131.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,226.13 / $1,226.13 / $1,276.18	Facility		$1,226.13	$1,226.13	$1,276.18
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 $1,297.67 / $1,816.31 / $2,872.08	Professional		$1,297.67	$1,816.31	$2,872.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,163.56	Facility		$55.00	$55.00	$19,163.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,250.16 / $9,490.32 / $11,288.33	Professional		$9,250.16	$9,490.32	$11,288.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,245.76 / $1,572.80 / $2,962.60	Facility		$1,245.76	$1,572.80	$2,962.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,470.08 / $1,955.84 / $2,300.98	Professional		$1,470.08	$1,955.84	$2,300.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,219.75 / $1,498.30 / $2,557.80	Professional		$1,219.75	$1,498.30	$2,557.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,248.58 / $1,597.76 / $3,038.26	Facility		$1,248.58	$1,597.76	$3,038.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,357.97 / $1,906.26 / $3,303.10	Professional		$1,357.97	$1,906.26	$3,303.10
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 $1,118.78 / $1,538.32 / $2,456.83	Professional		$1,118.78	$1,538.32	$2,456.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,091.02 / $1,267.66 / $1,708.75	Professional		$1,091.02	$1,267.66	$1,708.75