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 / $12,529.13	Facility		$969.00	$3,682.00	$12,529.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,160.58 / $1,407.07 / $2,268.87	Professional		$1,160.58	$1,407.07	$2,268.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.20 / $1,421.82 / $1,973.32	Professional		$525.20	$1,421.82	$1,973.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,354.24 / $1,419.91	Facility		$80.00	$1,354.24	$1,419.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.57 / $3,603.00 / $6,702.00	Facility		$1,621.57	$3,603.00	$6,702.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,410.81 / $1,898.46 / $2,849.32	Professional		$1,410.81	$1,898.46	$2,849.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $17,607.91	Facility		$55.00	$5,000.00	$17,607.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,274.83 / $10,274.83 / $12,770.18	Professional		$10,274.83	$10,274.83	$12,770.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,332.59 / $1,689.39 / $3,085.37	Facility		$1,332.59	$1,689.39	$3,085.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,756.41 / $2,107.69 / $2,613.54	Professional		$1,756.41	$2,107.69	$2,613.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,610.88 / $2,380.19 / $5,221.02	Professional		$1,610.88	$2,380.19	$5,221.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,335.29 / $1,693.41 / $3,109.50	Facility		$1,335.29	$1,693.41	$3,109.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,432.54 / $1,980.09 / $2,933.74	Professional		$1,432.54	$1,980.09	$2,933.74
United Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $2,064.00 / $8,759.00	Facility		$432.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,117.79 / $1,516.14 / $2,422.21	Professional		$1,117.79	$1,516.14	$2,422.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,199.24 / $1,360.11 / $1,867.51	Professional		$1,199.24	$1,360.11	$1,867.51