Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,570.00 / $10,893.00	Facility		$969.00	$3,570.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,021.84 / $2,261.88 / $3,350.11	Professional		$2,021.84	$2,261.88	$3,350.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,131.26 / $3,637.05 / $10,620.11	Facility		$2,131.26	$3,637.05	$10,620.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,780.55 / $2,368.13 / $3,472.09	Professional		$1,780.55	$2,368.13	$3,472.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,025.68	Facility		$1,961.00	$1,961.00	$2,025.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,277.00 / $4,619.00	Facility		$900.00	$2,277.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,998.09 / $2,876.55 / $4,525.52	Professional		$1,998.09	$2,876.55	$4,525.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $27,408.48	Facility		$55.00	$55.00	$27,408.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,706.24 / $16,131.12 / $18,795.98	Professional		$15,706.24	$16,131.12	$18,795.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,093.82 / $2,536.26 / $4,499.12	Facility		$2,093.82	$2,536.26	$4,499.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,469.60 / $3,285.64 / $3,865.46	Professional		$2,469.60	$3,285.64	$3,865.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,766.40 / $3,735.30 / $7,924.65	Professional		$1,766.40	$3,735.30	$7,924.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,093.82 / $2,547.91 / $5,027.00	Facility		$2,093.82	$2,547.91	$5,027.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,117.14 / $3,078.72 / $5,480.52	Professional		$2,117.14	$3,078.72	$5,480.52
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 $1,769.03 / $2,432.42 / $3,838.80	Professional		$1,769.03	$2,432.42	$3,838.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,832.81 / $2,134.46 / $2,880.98	Professional		$1,832.81	$2,134.46	$2,880.98