Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,596.00 / $12,040.00	Facility		$945.00	$3,596.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,643.14 / $1,858.41 / $2,768.22	Professional		$1,643.14	$1,858.41	$2,768.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,496.53 / $1,969.88 / $2,868.16	Professional		$1,496.53	$1,969.88	$2,868.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,604.10 / $1,604.10 / $1,631.66	Facility		$1,604.10	$1,604.10	$1,631.66
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 $1,709.90 / $2,393.85 / $3,723.86	Professional		$1,709.90	$2,393.85	$3,723.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,114.48	Facility		$55.00	$55.00	$16,114.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,831.36 / $13,170.48 / $14,769.90	Professional		$12,831.36	$13,170.48	$14,769.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,708.86 / $2,080.25 / $3,741.30	Facility		$1,708.86	$2,080.25	$3,741.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,976.72 / $2,629.90 / $3,094.00	Professional		$1,976.72	$2,629.90	$3,094.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,363.69 / $3,358.38 / $6,562.28	Professional		$2,363.69	$3,358.38	$6,562.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,712.32 / $2,097.14 / $4,174.58	Facility		$1,712.32	$2,097.14	$4,174.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,785.77 / $2,501.77 / $4,413.92	Professional		$1,785.77	$2,501.77	$4,413.92
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 $1,471.05 / $1,975.86 / $3,136.80	Professional		$1,471.05	$1,975.86	$3,136.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,467.02 / $1,715.53 / $2,318.57	Professional		$1,467.02	$1,715.53	$2,318.57