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 $1,345.05 / $1,485.77 / $2,238.29	Professional		$1,345.05	$1,485.77	$2,238.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,484.48 / $2,495.17 / $6,279.02	Facility		$1,484.48	$2,495.17	$6,279.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,313.38 / $1,668.82 / $2,316.13	Professional		$1,313.38	$1,668.82	$2,316.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,334.26 / $1,334.26 / $1,387.65	Facility		$1,334.26	$1,334.26	$1,387.65
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 $1,407.73 / $1,990.51 / $3,147.68	Professional		$1,407.73	$1,990.51	$3,147.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $20,831.33	Facility		$55.00	$55.00	$20,831.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,054.71 / $10,313.28 / $12,266.93	Professional		$10,054.71	$10,313.28	$12,266.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,356.54 / $1,717.66 / $3,341.59	Facility		$1,356.54	$1,717.66	$3,341.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,597.67 / $2,125.60 / $2,500.69	Professional		$1,597.67	$2,125.60	$2,500.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,327.64 / $1,631.68 / $2,804.80	Professional		$1,327.64	$1,631.68	$2,804.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,356.54 / $1,750.13 / $3,426.93	Facility		$1,356.54	$1,750.13	$3,426.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,480.52 / $2,075.50 / $3,587.85	Professional		$1,480.52	$2,075.50	$3,587.85
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $2,500.00 / $9,000.00	Facility		$471.00	$2,500.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,240.65 / $1,668.54 / $2,584.71	Professional		$1,240.65	$1,668.54	$2,584.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,185.71 / $1,377.76 / $1,857.34	Professional		$1,185.71	$1,377.76	$1,857.34