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 $1,317.34 / $1,483.49 / $2,223.67	Professional		$1,317.34	$1,483.49	$2,223.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,440.84 / $2,521.13 / $12,539.60	Facility		$1,440.84	$2,521.13	$12,539.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,310.31 / $1,658.53 / $2,310.69	Professional		$1,310.31	$1,658.53	$2,310.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,344.42 / $1,344.42 / $1,394.52	Facility		$1,344.42	$1,344.42	$1,394.52
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 $1,380.83 / $1,898.04 / $2,943.82	Professional		$1,380.83	$1,898.04	$2,943.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,656.96	Facility		$55.00	$55.00	$25,656.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,060.71 / $10,307.12 / $12,263.25	Professional		$10,060.71	$10,307.12	$12,263.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,355.24 / $1,705.88 / $3,016.39	Facility		$1,355.24	$1,705.88	$3,016.39
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 $15.00 / $1,727.40 / $3,564.30	Professional		$15.00	$1,727.40	$3,564.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,359.20 / $1,724.52 / $3,271.32	Facility		$1,359.20	$1,724.52	$3,271.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,431.08 / $2,010.82 / $3,551.57	Professional		$1,431.08	$2,010.82	$3,551.57
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 $1,175.25 / $1,581.70 / $2,516.90	Professional		$1,175.25	$1,581.70	$2,516.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,185.71 / $1,378.03 / $1,858.29	Professional		$1,185.71	$1,378.03	$1,858.29