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 $1,040.47 / $1,165.40 / $1,729.84	Professional		$1,040.47	$1,165.40	$1,729.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.53 / $1,254.10 / $1,842.81	Professional		$961.53	$1,254.10	$1,842.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,035.19 / $1,035.19 / $1,075.72	Facility		$1,035.19	$1,035.19	$1,075.72
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 $1,094.19 / $1,518.14 / $2,319.35	Professional		$1,094.19	$1,518.14	$2,319.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,248.08	Facility		$55.00	$55.00	$10,248.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,023.36 / $8,199.28 / $9,819.08	Professional		$8,023.36	$8,199.28	$9,819.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,081.57 / $1,355.09 / $2,443.26	Facility		$1,081.57	$1,355.09	$2,443.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.65 / $1,698.50 / $1,998.23	Professional		$1,276.65	$1,698.50	$1,998.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.15 / $1,429.96 / $2,351.67	Professional		$1,081.15	$1,429.96	$2,351.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,083.30 / $1,362.94 / $2,573.73	Facility		$1,083.30	$1,362.94	$2,573.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,134.01 / $1,584.42 / $2,830.30	Professional		$1,134.01	$1,584.42	$2,830.30
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 $899.68 / $1,238.45 / $1,953.24	Professional		$899.68	$1,238.45	$1,953.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $947.46 / $1,100.83 / $1,484.96	Professional		$947.46	$1,100.83	$1,484.96