Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,580.81 / $10,893.00	Facility		$945.00	$3,580.81	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,101.82 / $2,360.67 / $3,478.63	Professional		$2,101.82	$2,360.67	$3,478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,109.35 / $2,669.93 / $3,719.81	Professional		$2,109.35	$2,669.93	$3,719.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,095.66 / $2,095.66 / $2,174.12	Facility		$2,095.66	$2,095.66	$2,174.12
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 $2,051.35 / $3,005.07 / $4,745.33	Professional		$2,051.35	$3,005.07	$4,745.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $20,592.88	Facility		$55.00	$55.00	$20,592.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,258.00 / $17,258.00 / $19,715.40	Professional		$17,258.00	$17,258.00	$19,715.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,141.10 / $2,644.15 / $4,911.38	Facility		$2,141.10	$2,644.15	$4,911.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,564.09 / $3,411.35 / $4,013.35	Professional		$2,564.09	$3,411.35	$4,013.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,277.29 / $3,785.73 / $8,212.90	Professional		$2,277.29	$3,785.73	$8,212.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,144.36 / $2,664.18 / $5,253.81	Facility		$2,144.36	$2,664.18	$5,253.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,179.79 / $3,195.01 / $5,742.81	Professional		$2,179.79	$3,195.01	$5,742.81
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 $1,824.33 / $2,524.87 / $3,950.28	Professional		$1,824.33	$2,524.87	$3,950.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,902.93 / $2,211.30 / $2,983.47	Professional		$1,902.93	$2,211.30	$2,983.47