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 $1,235.93 / $1,396.24 / $2,048.16	Professional		$1,235.93	$1,396.24	$2,048.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,208.81 / $1,562.92 / $2,184.23	Professional		$1,208.81	$1,562.92	$2,184.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,233.57 / $1,233.57 / $1,280.33	Facility		$1,233.57	$1,233.57	$1,280.33
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 $1,256.84 / $1,751.94 / $2,747.47	Professional		$1,256.84	$1,751.94	$2,747.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,660.47	Facility		$55.00	$55.00	$13,660.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,507.20 / $9,722.79 / $11,626.80	Professional		$9,507.20	$9,722.79	$11,626.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,248.78 / $1,536.12 / $2,737.03	Facility		$1,248.78	$1,536.12	$2,737.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,512.12 / $2,011.78 / $2,366.80	Professional		$1,512.12	$2,011.78	$2,366.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $1,498.60 / $3,393.20	Professional		$8.00	$1,498.60	$3,393.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,264.26 / $1,537.66 / $3,057.03	Facility		$1,264.26	$1,537.66	$3,057.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,287.83 / $1,860.20 / $3,355.69	Professional		$1,287.83	$1,860.20	$3,355.69
United Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $2,502.00 / $9,187.00	Facility		$445.00	$2,502.00	$9,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,065.78 / $1,479.21 / $2,286.64	Professional		$1,065.78	$1,479.21	$2,286.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.22 / $1,304.03 / $1,759.28	Professional		$1,122.22	$1,304.03	$1,759.28