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 $1,202.45 / $1,345.79 / $2,005.29	Professional		$1,202.45	$1,345.79	$2,005.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,206.27 / $1,527.23 / $2,127.23	Professional		$1,206.27	$1,527.23	$2,127.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,201.42 / $1,201.42 / $1,247.66	Facility		$1,201.42	$1,201.42	$1,247.66
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 $1,240.02 / $1,706.36 / $2,651.48	Professional		$1,240.02	$1,706.36	$2,651.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,832.48	Facility		$55.00	$55.00	$11,832.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,263.28 / $9,470.48 / $11,335.05	Professional		$9,263.28	$9,470.48	$11,335.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,245.88 / $1,528.86 / $2,664.03	Facility		$1,245.88	$1,528.86	$2,664.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,473.81 / $1,960.80 / $2,306.83	Professional		$1,473.81	$1,960.80	$2,306.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,458.50 / $3,301.80	Professional		$7.00	$1,458.50	$3,301.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,245.94 / $1,550.00 / $2,974.14	Facility		$1,245.94	$1,550.00	$2,974.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,283.00 / $1,814.21 / $3,269.37	Professional		$1,283.00	$1,814.21	$3,269.37
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 $1,048.95 / $1,446.39 / $2,255.96	Professional		$1,048.95	$1,446.39	$2,255.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,093.78 / $1,270.89 / $1,714.46	Professional		$1,093.78	$1,270.89	$1,714.46