Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,504.00 / $10,836.00	Facility		$921.00	$3,504.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,591.01 / $1,791.06 / $2,698.88	Professional		$1,591.01	$1,791.06	$2,698.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,728.84 / $2,863.38 / $7,401.58	Facility		$1,728.84	$2,863.38	$7,401.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,419.27 / $1,854.79 / $2,767.58	Professional		$1,419.27	$1,854.79	$2,767.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,591.38 / $1,591.38 / $1,653.38	Facility		$1,591.38	$1,591.38	$1,653.38
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 $1,658.29 / $2,302.79 / $3,554.75	Professional		$1,658.29	$2,302.79	$3,554.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $15,715.52	Facility		$55.00	$55.00	$15,715.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,305.76 / $12,593.28 / $15,050.55	Professional		$12,305.76	$12,593.28	$15,050.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,657.81 / $2,074.94 / $3,538.43	Facility		$1,657.81	$2,074.94	$3,538.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,957.38 / $2,604.17 / $3,063.73	Professional		$1,957.38	$2,604.17	$3,063.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,600.10 / $2,941.01 / $4,392.60	Professional		$1,600.10	$2,941.01	$4,392.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,658.00 / $2,103.00 / $3,954.83	Facility		$1,658.00	$2,103.00	$3,954.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,716.37 / $2,419.46 / $4,348.37	Professional		$1,716.37	$2,419.46	$4,348.37
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 $1,378.11 / $1,918.32 / $3,001.08	Professional		$1,378.11	$1,918.32	$3,001.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,452.67 / $1,687.95 / $2,277.00	Professional		$1,452.67	$1,687.95	$2,277.00