Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,196.53 / $3,682.00 / $10,874.00	Facility		$1,196.53	$3,682.00	$10,874.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.32 / $1,292.26 / $1,976.04	Professional		$1,153.32	$1,292.26	$1,976.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,158.25 / $1,461.55 / $2,042.56	Professional		$1,158.25	$1,461.55	$2,042.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,153.73 / $1,153.73 / $1,197.43	Facility		$1,153.73	$1,153.73	$1,197.43
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 $1,190.22 / $1,639.10 / $2,578.65	Professional		$1,190.22	$1,639.10	$2,578.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $22,189.40	Facility		$55.00	$10,160.00	$22,189.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,894.00 / $9,094.16 / $10,877.93	Professional		$8,894.00	$9,094.16	$10,877.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,197.59 / $1,482.81 / $2,709.79	Facility		$1,197.59	$1,482.81	$2,709.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.66 / $1,882.11 / $2,288.06	Professional		$1,414.66	$1,882.11	$2,288.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,063.90 / $2,293.94 / $4,621.78	Professional		$1,063.90	$2,293.94	$4,621.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,197.59 / $1,497.00 / $2,854.48	Facility		$1,197.59	$1,497.00	$2,854.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,239.23 / $1,744.70 / $3,139.06	Professional		$1,239.23	$1,744.70	$3,139.06
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $20,955.00	Facility		$4,409.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,001.25 / $1,347.01 / $2,142.96	Professional		$1,001.25	$1,347.01	$2,142.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,049.89 / $1,219.97 / $1,645.85	Professional		$1,049.89	$1,219.97	$1,645.85