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 $1,299.33 / $1,450.75 / $2,188.98	Professional		$1,299.33	$1,450.75	$2,188.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,269.19 / $1,646.06 / $2,293.33	Professional		$1,269.19	$1,646.06	$2,293.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,292.63 / $1,292.63 / $1,342.88	Facility		$1,292.63	$1,292.63	$1,342.88
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 $1,344.45 / $1,839.54 / $2,901.02	Professional		$1,344.45	$1,839.54	$2,901.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,746.40	Facility		$55.00	$55.00	$12,746.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,913.39 / $12,208.13 / $12,306.53	Professional		$11,913.39	$12,208.13	$12,306.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,342.73 / $1,652.55 / $2,948.02	Facility		$1,342.73	$1,652.55	$2,948.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,587.63 / $2,112.23 / $2,484.98	Professional		$1,587.63	$2,112.23	$2,484.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,410.28 / $2,352.79 / $3,721.16	Professional		$1,410.28	$2,352.79	$3,721.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,342.73 / $1,672.04 / $3,212.66	Facility		$1,342.73	$1,672.04	$3,212.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,385.68 / $1,959.98 / $3,524.18	Professional		$1,385.68	$1,959.98	$3,524.18
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 $1,116.80 / $1,540.94 / $2,413.14	Professional		$1,116.80	$1,540.94	$2,413.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,178.26 / $1,369.08 / $1,846.84	Professional		$1,178.26	$1,369.08	$1,846.84