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 $1,205.72 / $1,353.77 / $2,050.77	Professional		$1,205.72	$1,353.77	$2,050.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,177.05 / $2,066.59 / $5,534.89	Facility		$1,177.05	$2,066.59	$5,534.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,200.10 / $1,519.05 / $2,116.38	Professional		$1,200.10	$1,519.05	$2,116.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,245.02 / $1,245.02 / $1,287.02	Facility		$1,245.02	$1,245.02	$1,287.02
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 $1,294.95 / $1,734.10 / $2,697.98	Professional		$1,294.95	$1,734.10	$2,697.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $23,580.80	Facility		$55.00	$55.00	$23,580.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,244.32 / $9,465.68 / $11,258.03	Professional		$9,244.32	$9,465.68	$11,258.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,242.89 / $1,541.06 / $2,764.15	Facility		$1,242.89	$1,541.06	$2,764.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,467.11 / $1,951.90 / $2,296.35	Professional		$1,467.11	$1,951.90	$2,296.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,525.20 / $3,277.30	Professional		$15.00	$1,525.20	$3,277.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,242.89 / $1,562.35 / $2,980.39	Facility		$1,242.89	$1,562.35	$2,980.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,333.92 / $1,815.29 / $3,268.20	Professional		$1,333.92	$1,815.29	$3,268.20
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 $1,091.58 / $1,470.11 / $2,335.67	Professional		$1,091.58	$1,470.11	$2,335.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,088.81 / $1,265.70 / $1,707.51	Professional		$1,088.81	$1,265.70	$1,707.51