Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $3,730.00 / $12,941.00	Facility		$975.00	$3,730.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,175.84 / $1,318.78 / $1,983.32	Professional		$1,175.84	$1,318.78	$1,983.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,181.33 / $1,495.67 / $2,083.27	Professional		$1,181.33	$1,495.67	$2,083.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,177.79 / $1,177.79 / $1,222.56	Facility		$1,177.79	$1,177.79	$1,222.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,530.00 / $12,377.00	Facility		$900.00	$2,530.00	$12,377.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,223.89 / $1,672.06 / $2,628.81	Professional		$1,223.89	$1,672.06	$2,628.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,385.24	Facility		$55.00	$55.00	$17,385.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,807.05 / $11,807.05 / $11,807.05	Professional		$11,807.05	$11,807.05	$11,807.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,220.96 / $1,497.78 / $2,839.07	Facility		$1,220.96	$1,497.78	$2,839.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,443.30 / $1,920.21 / $2,334.37	Professional		$1,443.30	$1,920.21	$2,334.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.89 / $2,146.61 / $3,237.10	Professional		$1,125.89	$2,146.61	$3,237.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,221.30 / $1,520.04 / $2,911.58	Facility		$1,221.30	$1,520.04	$2,911.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,266.73 / $1,780.38 / $3,216.24	Professional		$1,266.73	$1,780.38	$3,216.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,870.00 / $17,417.00	Facility		$2,093.00	$5,870.00	$17,417.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,027.65 / $1,408.83 / $2,208.02	Professional		$1,027.65	$1,408.83	$2,208.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.14 / $1,244.68 / $1,679.22	Professional		$1,071.14	$1,244.68	$1,679.22