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 $1,419.26 / $1,590.08 / $2,404.30	Professional		$1,419.26	$1,590.08	$2,404.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,406.65 / $1,780.93 / $2,480.60	Professional		$1,406.65	$1,780.93	$2,480.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,382.02 / $1,382.02 / $1,408.90	Facility		$1,382.02	$1,382.02	$1,408.90
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 $1,474.43 / $2,063.08 / $3,216.48	Professional		$1,474.43	$2,063.08	$3,216.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,976.00	Facility		$55.00	$55.00	$13,976.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,136.64 / $11,410.40 / $12,804.53	Professional		$11,136.64	$11,410.40	$12,804.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,483.64 / $1,867.50 / $3,233.22	Facility		$1,483.64	$1,867.50	$3,233.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,714.85 / $2,281.48 / $2,684.11	Professional		$1,714.85	$2,281.48	$2,684.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,557.09 / $2,877.62 / $5,675.45	Professional		$1,557.09	$2,877.62	$5,675.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,486.23 / $1,894.30 / $3,528.59	Facility		$1,486.23	$1,894.30	$3,528.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,546.52 / $2,160.51 / $3,822.01	Professional		$1,546.52	$2,160.51	$3,822.01
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 $1,281.71 / $1,707.38 / $2,708.85	Professional		$1,281.71	$1,707.38	$2,708.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,272.67 / $1,488.27 / $2,010.84	Professional		$1,272.67	$1,488.27	$2,010.84