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 $1,428.76 / $1,582.17 / $2,385.16	Professional		$1,428.76	$1,582.17	$2,385.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,606.98 / $1,739.53 / $2,003.45	Facility		$1,606.98	$1,739.53	$2,003.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,399.57 / $1,778.33 / $2,468.11	Professional		$1,399.57	$1,778.33	$2,468.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,419.49 / $1,419.49 / $1,476.89	Facility		$1,419.49	$1,419.49	$1,476.89
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 $1,503.33 / $2,137.81 / $3,373.88	Professional		$1,503.33	$2,137.81	$3,373.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $22,190.09	Facility		$55.00	$55.00	$22,190.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,710.32 / $10,984.16 / $13,071.45	Professional		$10,710.32	$10,984.16	$13,071.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,443.19 / $1,852.83 / $3,425.49	Facility		$1,443.19	$1,852.83	$3,425.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,702.21 / $2,264.67 / $2,664.32	Professional		$1,702.21	$2,264.67	$2,664.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.45 / $1,700.30 / $3,062.40	Professional		$1,412.45	$1,700.30	$3,062.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.55 / $1,875.61 / $3,512.97	Facility		$1,445.55	$1,875.61	$3,512.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,578.49 / $2,224.54 / $3,858.45	Professional		$1,578.49	$2,224.54	$3,858.45
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 $1,321.45 / $1,780.48 / $2,856.49	Professional		$1,321.45	$1,780.48	$2,856.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,263.29 / $1,467.82 / $1,978.63	Professional		$1,263.29	$1,467.82	$1,978.63