Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $12,281.00	Facility		$969.00	$3,596.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.38 / $1,311.23 / $1,938.48	Professional		$1,147.38	$1,311.23	$1,938.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.05 / $2,129.42 / $6,888.50	Facility		$1,230.05	$2,129.42	$6,888.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,173.03 / $1,484.77 / $2,063.27	Professional		$1,173.03	$1,484.77	$2,063.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,181.55 / $1,181.55 / $1,222.51	Facility		$1,181.55	$1,181.55	$1,222.51
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 $1,154.88 / $1,615.61 / $2,498.87	Professional		$1,154.88	$1,615.61	$2,498.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,073.42	Facility		$55.00	$55.00	$10,073.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,013.36 / $9,204.79 / $11,010.00	Professional		$9,013.36	$9,204.79	$11,010.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,179.23 / $1,453.86 / $2,583.13	Facility		$1,179.23	$1,453.86	$2,583.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,432.51 / $1,905.86 / $2,242.19	Professional		$1,432.51	$1,905.86	$2,242.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,375.20 / $3,228.40	Professional		$6.00	$1,375.20	$3,228.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,196.11 / $1,462.45 / $2,877.16	Facility		$1,196.11	$1,462.45	$2,877.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,203.68 / $1,701.11 / $3,145.56	Professional		$1,203.68	$1,701.11	$3,145.56
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 $1,000.75 / $1,342.22 / $2,148.75	Professional		$1,000.75	$1,342.22	$2,148.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,063.13 / $1,235.65 / $1,667.57	Professional		$1,063.13	$1,235.65	$1,667.57