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 $1,718.03 / $1,923.59 / $2,840.53	Professional		$1,718.03	$1,923.59	$2,840.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,865.24 / $3,121.82 / $7,901.00	Facility		$1,865.24	$3,121.82	$7,901.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,679.54 / $2,171.54 / $3,034.80	Professional		$1,679.54	$2,171.54	$3,034.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,703.80 / $1,703.80 / $1,770.87	Facility		$1,703.80	$1,703.80	$1,770.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,130.71 / $4,619.00	Facility		$900.00	$2,130.71	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,669.11 / $2,439.96 / $3,815.37	Professional		$1,669.11	$2,439.96	$3,815.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $29,442.56	Facility		$55.00	$55.00	$29,442.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,171.76 / $13,486.56 / $16,123.58	Professional		$13,171.76	$13,486.56	$16,123.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,760.18 / $2,135.92 / $3,794.41	Facility		$1,760.18	$2,135.92	$3,794.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,096.14 / $2,788.78 / $3,280.91	Professional		$2,096.14	$2,788.78	$3,280.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $1,685.40 / $4,716.70	Professional		$13.00	$1,685.40	$4,716.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,762.45 / $2,135.92 / $4,266.85	Facility		$1,762.45	$2,135.92	$4,266.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,781.93 / $2,599.44 / $4,656.30	Professional		$1,781.93	$2,599.44	$4,656.30
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 $1,516.26 / $2,064.60 / $3,233.56	Professional		$1,516.26	$2,064.60	$3,233.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,555.65 / $1,807.40 / $2,437.96	Professional		$1,555.65	$1,807.40	$2,437.96