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 $1,173.35 / $1,319.43 / $1,966.60	Professional		$1,173.35	$1,319.43	$1,966.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,185.65 / $1,501.12 / $2,090.87	Professional		$1,185.65	$1,501.12	$2,090.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,213.21 / $1,213.21 / $1,249.57	Facility		$1,213.21	$1,213.21	$1,249.57
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 $1,142.27 / $1,670.75 / $2,599.41	Professional		$1,142.27	$1,670.75	$2,599.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,200.75	Facility		$55.00	$55.00	$13,200.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,184.71 / $9,363.76 / $11,201.03	Professional		$9,184.71	$9,363.76	$11,201.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,171.83 / $1,415.79 / $2,743.18	Facility		$1,171.83	$1,415.79	$2,743.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,458.18 / $1,940.01 / $2,282.36	Professional		$1,458.18	$1,940.01	$2,282.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $1,434.80 / $3,262.70	Professional		$8.00	$1,434.80	$3,262.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,173.35 / $1,424.96 / $2,889.66	Facility		$1,173.35	$1,424.96	$2,889.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,231.11 / $1,759.69 / $3,194.29	Professional		$1,231.11	$1,759.69	$3,194.29
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 $1,005.01 / $1,363.30 / $2,190.92	Professional		$1,005.01	$1,363.30	$2,190.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,082.18 / $1,258.23 / $1,699.00	Professional		$1,082.18	$1,258.23	$1,699.00