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 $1,161.95 / $1,307.46 / $1,949.28	Professional		$1,161.95	$1,307.46	$1,949.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,168.41 / $1,480.44 / $2,060.46	Professional		$1,168.41	$1,480.44	$2,060.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,166.45 / $1,166.45 / $1,208.54	Facility		$1,166.45	$1,166.45	$1,208.54
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 $1,210.98 / $1,657.97 / $2,611.12	Professional		$1,210.98	$1,657.97	$2,611.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,442.64	Facility		$55.00	$55.00	$11,442.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,958.32 / $9,168.87 / $10,950.00	Professional		$8,958.32	$9,168.87	$10,950.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,205.07 / $1,483.83 / $2,620.80	Facility		$1,205.07	$1,483.83	$2,620.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,424.33 / $1,894.98 / $2,229.39	Professional		$1,424.33	$1,894.98	$2,229.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,655.80 / $3,212.80	Professional		$7.00	$1,655.80	$3,212.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,208.03 / $1,496.91 / $2,882.63	Facility		$1,208.03	$1,496.91	$2,882.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,244.18 / $1,763.73 / $3,163.13	Professional		$1,244.18	$1,763.73	$3,163.13
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 $1,014.87 / $1,390.95 / $2,187.37	Professional		$1,014.87	$1,390.95	$2,187.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,057.07 / $1,228.46 / $1,657.64	Professional		$1,057.07	$1,228.46	$1,657.64