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 $1,266.71 / $1,417.92 / $2,134.12	Professional		$1,266.71	$1,417.92	$2,134.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,232.93 / $2,112.21 / $5,809.60	Facility		$1,232.93	$2,112.21	$5,809.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,268.14 / $1,605.15 / $2,236.34	Professional		$1,268.14	$1,605.15	$2,236.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,261.00 / $1,261.00 / $1,309.79	Facility		$1,261.00	$1,261.00	$1,309.79
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 $1,314.97 / $1,799.63 / $2,829.32	Professional		$1,314.97	$1,799.63	$2,829.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,435.28	Facility		$55.00	$55.00	$12,435.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,845.53 / $9,957.20 / $11,912.03	Professional		$9,845.53	$9,957.20	$11,912.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,309.73 / $1,619.95 / $2,973.34	Facility		$1,309.73	$1,619.95	$2,973.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.95 / $2,060.77 / $2,424.44	Professional		$1,548.95	$2,060.77	$2,424.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,677.00 / $3,470.20	Professional		$7.00	$1,677.00	$3,470.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,309.73 / $1,641.12 / $3,132.11	Facility		$1,309.73	$1,641.12	$3,132.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,357.61 / $1,914.15 / $3,437.86	Professional		$1,357.61	$1,914.15	$3,437.86
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 $1,103.02 / $1,524.47 / $2,373.82	Professional		$1,103.02	$1,524.47	$2,373.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,149.55 / $1,335.68 / $1,801.80	Professional		$1,149.55	$1,335.68	$1,801.80