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 $1,065.83 / $1,199.03 / $1,771.52	Professional		$1,065.83	$1,199.03	$1,771.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,072.68 / $1,357.76 / $1,891.66	Professional		$1,072.68	$1,357.76	$1,891.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,076.89 / $1,076.89 / $1,114.25	Facility		$1,076.89	$1,076.89	$1,114.25
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 $995.75 / $1,517.88 / $2,370.14	Professional		$995.75	$1,517.88	$2,370.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,522.00	Facility		$55.00	$55.00	$10,522.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,235.68 / $8,423.68 / $10,067.18	Professional		$8,235.68	$8,423.68	$10,067.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,059.30 / $1,294.68 / $2,368.37	Facility		$1,059.30	$1,294.68	$2,368.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,309.39 / $1,742.06 / $2,117.80	Professional		$1,309.39	$1,742.06	$2,117.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $979.30 / $2,954.00	Professional		$7.00	$979.30	$2,954.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,062.99 / $1,306.03 / $2,642.54	Facility		$1,062.99	$1,306.03	$2,642.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,078.30 / $1,605.44 / $2,904.17	Professional		$1,078.30	$1,605.44	$2,904.17
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $921.19 / $1,266.64 / $2,004.44	Professional		$921.19	$1,266.64	$2,004.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $971.76 / $1,129.38 / $1,524.19	Professional		$971.76	$1,129.38	$1,524.19