Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,730.00 / $12,941.00	Facility		$983.00	$3,730.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,657.46 / $1,854.78 / $2,826.69	Professional		$1,657.46	$1,854.78	$2,826.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,529.10 / $2,012.75 / $2,930.58	Professional		$1,529.10	$2,012.75	$2,930.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,648.32 / $1,648.32 / $1,713.25	Facility		$1,648.32	$1,648.32	$1,713.25
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 $1,716.79 / $2,342.80 / $3,694.01	Professional		$1,716.79	$2,342.80	$3,694.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $24,420.00	Facility		$55.00	$55.00	$24,420.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,253.41 / $13,253.41 / $15,596.63	Professional		$13,253.41	$13,253.41	$15,596.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,716.30 / $2,114.83 / $3,696.05	Facility		$1,716.30	$2,114.83	$3,696.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,028.06 / $2,698.20 / $3,174.35	Professional		$2,028.06	$2,698.20	$3,174.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $2,175.30 / $4,546.60	Professional		$11.00	$2,175.30	$4,546.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,716.30 / $2,145.85 / $4,099.50	Facility		$1,716.30	$2,145.85	$4,099.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.14 / $2,495.30 / $4,501.92	Professional		$1,778.14	$2,495.30	$4,501.92
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 $1,427.94 / $1,973.03 / $3,109.64	Professional		$1,427.94	$1,973.03	$3,109.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,505.12 / $1,748.80 / $2,358.94	Professional		$1,505.12	$1,748.80	$2,358.94