Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.16 / $3,620.00 / $12,040.00	Facility		$974.16	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.16 / $1,135.42 / $1,514.94	Professional		$974.16	$1,135.42	$1,514.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,565.76 / $4,739.10 / $8,904.69	Facility		$2,565.76	$4,739.10	$8,904.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $935.42 / $935.42 / $935.42	Facility		$935.42	$935.42	$935.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.10 / $2,376.10 / $2,376.10	Facility		$2,376.10	$2,376.10	$2,376.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,080.89 / $1,422.88 / $2,154.62	Professional		$1,080.89	$1,422.88	$2,154.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $26,542.00 / $26,542.00	Facility		$9,388.90	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,061.00 / $8,061.00 / $8,784.90	Professional		$8,061.00	$8,061.00	$8,784.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,035.61 / $1,357.77 / $2,337.17	Facility		$1,035.61	$1,357.77	$2,337.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,334.68 / $1,570.82 / $1,848.02	Professional		$1,334.68	$1,570.82	$1,848.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,591.60 / $1,591.60 / $1,591.60	Professional		$1,591.60	$1,591.60	$1,591.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,035.61 / $1,386.96 / $2,675.56	Facility		$1,035.61	$1,386.96	$2,675.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,080.89 / $1,444.32 / $2,223.92	Professional		$1,080.89	$1,444.32	$2,223.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $882.03 / $1,212.79 / $1,920.62	Professional		$882.03	$1,212.79	$1,920.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $876.24 / $1,003.37 / $1,385.94	Professional		$876.24	$1,003.37	$1,385.94