Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.84 / $3,682.00 / $12,040.00	Facility		$954.84	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.84 / $1,138.13 / $1,918.44	Professional		$954.84	$1,138.13	$1,918.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,157.83 / $1,952.64 / $6,948.22	Facility		$1,157.83	$1,952.64	$6,948.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $936.01 / $1,215.82 / $1,825.23	Professional		$936.01	$1,215.82	$1,825.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,196.36 / $1,248.86	Facility		$80.00	$1,196.36	$1,248.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.80 / $3,603.00 / $6,702.00	Facility		$1,409.80	$3,603.00	$6,702.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,161.19 / $1,602.45 / $2,378.34	Professional		$1,161.19	$1,602.45	$2,378.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $15,378.77	Facility		$55.00	$5,000.00	$15,378.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,295.71 / $9,295.71 / $11,117.03	Professional		$9,295.71	$9,295.71	$11,117.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,084.39 / $1,365.42 / $2,480.00	Facility		$1,084.39	$1,365.42	$2,480.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,531.61 / $1,837.94 / $2,279.04	Professional		$1,531.61	$1,837.94	$2,279.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,368.99 / $2,026.46 / $4,560.10	Professional		$1,368.99	$2,026.46	$4,560.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,085.38 / $1,375.38 / $2,534.79	Facility		$1,085.38	$1,375.38	$2,534.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,184.82 / $1,654.52 / $2,420.85	Professional		$1,184.82	$1,654.52	$2,420.85
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,027.00 / $20,955.00	Facility		$4,600.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $898.46 / $1,240.61 / $1,890.46	Professional		$898.46	$1,240.61	$1,890.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,045.75 / $1,184.82 / $1,630.11	Professional		$1,045.75	$1,184.82	$1,630.11