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 $1,260.29 / $1,400.82 / $2,160.66	Professional		$1,260.29	$1,400.82	$2,160.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,261.01 / $1,607.10 / $2,239.05	Professional		$1,261.01	$1,607.10	$2,239.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,266.03 / $1,266.03 / $1,312.49	Facility		$1,266.03	$1,266.03	$1,312.49
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 $1,305.26 / $1,793.33 / $2,801.87	Professional		$1,305.26	$1,793.33	$2,801.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,429.20	Facility		$55.00	$55.00	$12,429.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,730.24 / $9,959.52 / $11,898.68	Professional		$9,730.24	$9,959.52	$11,898.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,285.68 / $1,579.78 / $2,794.14	Facility		$1,285.68	$1,579.78	$2,794.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,547.45 / $2,058.78 / $2,422.10	Professional		$1,547.45	$2,058.78	$2,422.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,725.50 / $3,440.60	Professional		$7.00	$1,725.50	$3,440.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,293.65 / $1,605.41 / $3,108.63	Facility		$1,293.65	$1,605.41	$3,108.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,355.88 / $1,894.52 / $3,422.27	Professional		$1,355.88	$1,894.52	$3,422.27
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 $1,081.03 / $1,487.35 / $2,347.27	Professional		$1,081.03	$1,487.35	$2,347.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.44 / $1,334.57 / $1,800.68	Professional		$1,148.44	$1,334.57	$1,800.68