Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,249.66 / $1,497.81 / $2,461.37	Professional		$1,249.66	$1,497.81	$2,461.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,502.10 / $2,614.77 / $10,586.62	Facility		$1,502.10	$2,614.77	$10,586.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.49 / $1,787.87 / $2,436.30	Professional		$1,412.49	$1,787.87	$2,436.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,281.83 / $1,316.23	Facility		$80.00	$1,281.83	$1,316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,657.43 / $1,657.43 / $1,657.43	Facility		$1,657.43	$1,657.43	$1,657.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,505.10 / $2,037.95 / $3,065.23	Professional		$1,505.10	$2,037.95	$3,065.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $23,304.26	Facility		$55.00	$5,000.00	$23,304.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,491.20 / $10,708.32 / $12,511.50	Professional		$10,491.20	$10,708.32	$12,511.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,395.23 / $1,847.24 / $3,042.06	Facility		$1,395.23	$1,847.24	$3,042.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,789.16 / $2,147.00 / $2,662.27	Professional		$1,789.16	$2,147.00	$2,662.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,893.60 / $2,569.06 / $5,330.02	Professional		$1,893.60	$2,569.06	$5,330.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,407.27 / $1,850.67 / $3,087.74	Facility		$1,407.27	$1,850.67	$3,087.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,505.10 / $2,105.71 / $3,155.63	Professional		$1,505.10	$2,105.71	$3,155.63
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,546.00 / $9,000.00	Facility		$500.00	$2,546.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,195.78 / $1,594.37 / $2,559.32	Professional		$1,195.78	$1,594.37	$2,559.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,221.59 / $1,391.65 / $1,923.30	Professional		$1,221.59	$1,391.65	$1,923.30