Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,611.00 / $12,480.00	Facility		$983.00	$3,611.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,334.71 / $1,518.93 / $2,317.15	Professional		$1,334.71	$1,518.93	$2,317.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,351.81 / $1,722.81 / $2,400.26	Professional		$1,351.81	$1,722.81	$2,400.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,350.35 / $1,350.35 / $1,403.72	Facility		$1,350.35	$1,350.35	$1,403.72
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 $1,390.69 / $1,924.09 / $3,033.63	Professional		$1,390.69	$1,924.09	$3,033.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,345.28	Facility		$55.00	$55.00	$13,345.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,447.84 / $10,680.88 / $12,790.73	Professional		$10,447.84	$10,680.88	$12,790.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,406.00 / $1,737.86 / $3,193.82	Facility		$1,406.00	$1,737.86	$3,193.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,662.77 / $2,212.21 / $2,602.60	Professional		$1,662.77	$2,212.21	$2,602.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,311.90 / $2,699.55 / $5,405.92	Professional		$1,311.90	$2,699.55	$5,405.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,407.63 / $1,765.99 / $3,364.37	Facility		$1,407.63	$1,765.99	$3,364.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,416.40 / $2,042.86 / $3,687.69	Professional		$1,416.40	$2,042.86	$3,687.69
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 $1,178.52 / $1,627.92 / $2,587.36	Professional		$1,178.52	$1,627.92	$2,587.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,234.02 / $1,433.71 / $1,933.85	Professional		$1,234.02	$1,433.71	$1,933.85