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 $1,399.55 / $1,586.63 / $2,313.54	Professional		$1,399.55	$1,586.63	$2,313.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,399.26 / $1,771.58 / $2,467.57	Professional		$1,399.26	$1,771.58	$2,467.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,386.93 / $1,386.93 / $1,441.95	Facility		$1,386.93	$1,386.93	$1,441.95
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 $1,425.00 / $2,017.07 / $3,141.66	Professional		$1,425.00	$2,017.07	$3,141.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $27,403.04	Facility		$55.00	$55.00	$27,403.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,728.24 / $10,974.56 / $13,128.68	Professional		$10,728.24	$10,974.56	$13,128.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,430.00 / $1,747.22 / $3,096.82	Facility		$1,430.00	$1,747.22	$3,096.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,707.04 / $2,271.10 / $2,760.95	Professional		$1,707.04	$2,271.10	$2,760.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $1,631.60 / $3,824.20	Professional		$15.00	$1,631.60	$3,824.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,434.78 / $1,771.56 / $3,459.78	Facility		$1,434.78	$1,771.56	$3,459.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,497.08 / $2,122.13 / $3,789.78	Professional		$1,497.08	$2,122.13	$3,789.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $6,856.00 / $16,000.00	Facility		$2,600.00	$6,856.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.06 / $1,659.00 / $2,620.48	Professional		$1,202.06	$1,659.00	$2,620.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,266.86 / $1,471.93 / $1,985.40	Professional		$1,266.86	$1,471.93	$1,985.40