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 $1,343.60 / $1,511.44 / $2,251.85	Professional		$1,343.60	$1,511.44	$2,251.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,350.32 / $1,709.61 / $2,381.26	Professional		$1,350.32	$1,709.61	$2,381.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,358.24 / $1,358.24 / $1,405.21	Facility		$1,358.24	$1,358.24	$1,405.21
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 $1,379.64 / $1,907.92 / $2,981.16	Professional		$1,379.64	$1,907.92	$2,981.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,572.61	Facility		$55.00	$55.00	$11,572.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,354.08 / $10,590.72 / $12,648.90	Professional		$10,354.08	$10,590.72	$12,648.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,378.92 / $1,673.77 / $2,976.18	Facility		$1,378.92	$1,673.77	$2,976.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,645.66 / $2,189.44 / $2,575.82	Professional		$1,645.66	$2,189.44	$2,575.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,650.40 / $3,723.70	Professional		$6.00	$1,650.40	$3,723.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,384.12 / $1,702.88 / $3,328.39	Facility		$1,384.12	$1,702.88	$3,328.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,409.73 / $2,028.19 / $3,652.83	Professional		$1,409.73	$2,028.19	$3,652.83
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 $1,158.75 / $1,603.71 / $2,526.23	Professional		$1,158.75	$1,603.71	$2,526.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,221.32 / $1,419.51 / $1,915.74	Professional		$1,221.32	$1,419.51	$1,915.74