Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,925.00 / $12,286.00	Facility		$983.00	$3,925.00	$12,286.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.56 / $1,694.71 / $2,585.69	Professional		$1,505.56	$1,694.71	$2,585.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,592.55 / $2,710.72 / $14,400.00	Facility		$1,592.55	$2,710.72	$14,400.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,397.69 / $1,839.77 / $2,678.72	Professional		$1,397.69	$1,839.77	$2,678.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,509.95 / $1,509.95 / $1,568.00	Facility		$1,509.95	$1,509.95	$1,568.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $4,371.00 / $12,377.00	Facility		$900.00	$4,371.00	$12,377.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,570.07 / $2,138.02 / $3,350.37	Professional		$1,570.07	$2,138.02	$3,350.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $22,333.44	Facility		$55.00	$55.00	$22,333.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,253.41 / $13,469.28 / $14,259.23	Professional		$13,253.41	$13,469.28	$14,259.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,568.68 / $1,928.47 / $3,490.05	Facility		$1,568.68	$1,928.47	$3,490.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,854.34 / $2,467.08 / $2,902.45	Professional		$1,854.34	$2,467.08	$2,902.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $1,982.30 / $4,157.80	Professional		$11.00	$1,982.30	$4,157.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,569.05 / $1,944.93 / $3,676.41	Facility		$1,569.05	$1,944.93	$3,676.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,620.35 / $2,271.02 / $4,128.37	Professional		$1,620.35	$2,271.02	$4,128.37
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $9,586.00	Facility		$385.00	$1,970.00	$9,586.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,293.43 / $1,775.28 / $2,796.32	Professional		$1,293.43	$1,775.28	$2,796.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,376.19 / $1,599.10 / $2,157.25	Professional		$1,376.19	$1,599.10	$2,157.25