Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $10,893.00	Facility		$969.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,946.91 / $2,174.37 / $3,222.24	Professional		$1,946.91	$2,174.37	$3,222.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,103.27 / $3,522.93 / $8,508.20	Facility		$2,103.27	$3,522.93	$8,508.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,947.76 / $2,465.39 / $3,376.15	Professional		$1,947.76	$2,465.39	$3,376.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,917.57 / $1,917.57 / $1,998.85	Facility		$1,917.57	$1,917.57	$1,998.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,277.00 / $4,619.00	Facility		$900.00	$2,277.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,814.40 / $2,762.00 / $4,311.04	Professional		$1,814.40	$2,762.00	$4,311.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,054.24	Facility		$55.00	$55.00	$19,054.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,920.72 / $15,268.40 / $18,275.40	Professional		$14,920.72	$15,268.40	$18,275.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,848.21 / $2,379.92 / $4,321.05	Facility		$1,848.21	$2,379.92	$4,321.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,375.50 / $3,160.44 / $3,718.17	Professional		$2,375.50	$3,160.44	$3,718.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,701.90 / $3,965.04 / $7,751.31	Professional		$1,701.90	$3,965.04	$7,751.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,865.72 / $2,400.81 / $4,835.41	Facility		$1,865.72	$2,400.81	$4,835.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,018.55 / $2,949.91 / $5,276.31	Professional		$2,018.55	$2,949.91	$5,276.31
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 $1,680.60 / $2,321.00 / $3,663.71	Professional		$1,680.60	$2,321.00	$3,663.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,762.97 / $2,047.95 / $2,761.57	Professional		$1,762.97	$2,047.95	$2,761.57