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 $1,740.17 / $1,955.77 / $2,914.02	Professional		$1,740.17	$1,955.77	$2,914.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,711.06 / $2,165.79 / $3,017.43	Professional		$1,711.06	$2,165.79	$3,017.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,676.76 / $1,676.76 / $1,708.98	Facility		$1,676.76	$1,676.76	$1,708.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,124.06 / $4,619.00	Facility		$900.00	$2,124.06	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,813.34 / $2,543.34 / $3,918.50	Professional		$1,813.34	$2,543.34	$3,918.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,941.68	Facility		$55.00	$55.00	$16,941.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,499.20 / $13,854.16 / $15,521.40	Professional		$13,499.20	$13,854.16	$15,521.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,806.07 / $2,280.00 / $4,004.62	Facility		$1,806.07	$2,280.00	$4,004.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,078.65 / $2,765.51 / $3,253.54	Professional		$2,078.65	$2,765.51	$3,253.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,918.20 / $3,487.67 / $6,879.91	Professional		$1,918.20	$3,487.67	$6,879.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,808.05 / $2,295.89 / $4,375.57	Facility		$1,808.05	$2,295.89	$4,375.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,883.95 / $2,651.63 / $4,641.18	Professional		$1,883.95	$2,651.63	$4,641.18
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 $1,565.55 / $2,112.60 / $3,301.67	Professional		$1,565.55	$2,112.60	$3,301.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,542.66 / $1,804.01 / $2,437.53	Professional		$1,542.66	$1,804.01	$2,437.53