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 $1,516.44 / $1,705.91 / $2,503.19	Professional		$1,516.44	$1,705.91	$2,503.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,335.48 / $3,302.69 / $32,132.40	Facility		$1,335.48	$3,302.69	$32,132.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,488.18 / $1,875.09 / $2,683.38	Professional		$1,488.18	$1,875.09	$2,683.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,530.97 / $1,530.97 / $1,584.09	Facility		$1,530.97	$1,530.97	$1,584.09
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 $1,566.46 / $2,150.34 / $3,367.13	Professional		$1,566.46	$2,150.34	$3,367.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,068.37	Facility		$55.00	$55.00	$13,068.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,692.40 / $11,955.60 / $14,284.65	Professional		$11,692.40	$11,955.60	$14,284.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,558.45 / $1,892.84 / $3,353.16	Facility		$1,558.45	$1,892.84	$3,353.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,858.43 / $2,472.53 / $2,908.85	Professional		$1,858.43	$2,472.53	$2,908.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,825.30 / $4,202.00	Professional		$6.00	$1,825.30	$4,202.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,566.47 / $1,892.84 / $3,751.50	Facility		$1,566.47	$1,892.84	$3,751.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,596.65 / $2,288.14 / $4,123.43	Professional		$1,596.65	$2,288.14	$4,123.43
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 $1,325.18 / $1,809.37 / $2,816.01	Professional		$1,325.18	$1,809.37	$2,816.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,379.23 / $1,603.02 / $2,163.38	Professional		$1,379.23	$1,603.02	$2,163.38