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 $1,728.63 / $1,969.10 / $3,104.80	Professional		$1,728.63	$1,969.10	$3,104.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,593.68 / $2,078.61 / $3,054.34	Professional		$1,593.68	$2,078.61	$3,054.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,724.89 / $1,724.89 / $1,788.38	Facility		$1,724.89	$1,724.89	$1,788.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,139.92 / $4,619.00	Facility		$900.00	$2,139.92	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,784.53 / $2,456.30 / $3,836.20	Professional		$1,784.53	$2,456.30	$3,836.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,055.70	Facility		$55.00	$55.00	$19,055.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,261.12 / $13,583.60 / $16,213.35	Professional		$13,261.12	$13,583.60	$16,213.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,784.53 / $2,188.39 / $3,827.63	Facility		$1,784.53	$2,188.39	$3,827.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,108.78 / $2,805.59 / $3,300.70	Professional		$2,108.78	$2,805.59	$3,300.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,863.50 / $3,408.08 / $6,891.74	Professional		$1,863.50	$3,408.08	$6,891.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,784.53 / $2,208.67 / $4,275.46	Facility		$1,784.53	$2,208.67	$4,275.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,855.68 / $2,613.00 / $4,687.01	Professional		$1,855.68	$2,613.00	$4,687.01
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 $1,489.76 / $2,058.37 / $3,211.85	Professional		$1,489.76	$2,058.37	$3,211.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,565.03 / $1,818.70 / $2,453.92	Professional		$1,565.03	$1,818.70	$2,453.92