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 $1,053.13 / $1,242.21 / $2,007.70	Professional		$1,053.13	$1,242.21	$2,007.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,268.00 / $2,192.01 / $10,363.43	Facility		$1,268.00	$2,192.01	$10,363.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $975.43 / $1,244.98 / $1,742.24	Professional		$975.43	$1,244.98	$1,742.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,098.38 / $1,125.41	Facility		$80.00	$1,098.38	$1,125.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,407.20 / $3,603.00 / $6,702.00	Facility		$1,407.20	$3,603.00	$6,702.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.32 / $1,711.57 / $2,597.78	Professional		$1,271.32	$1,711.57	$2,597.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $19,842.20	Facility		$55.00	$5,000.00	$19,842.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,130.10 / $11,130.10 / $11,130.10	Professional		$11,130.10	$11,130.10	$11,130.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,183.40 / $1,535.09 / $2,752.89	Facility		$1,183.40	$1,535.09	$2,752.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,522.71 / $1,827.26 / $2,265.80	Professional		$1,522.71	$1,827.26	$2,265.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,325.63 / $2,017.09 / $4,422.83	Professional		$1,325.63	$2,017.09	$4,422.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,183.78 / $1,538.42 / $2,823.19	Facility		$1,183.78	$1,538.42	$2,823.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,279.24 / $1,766.70 / $2,638.25	Professional		$1,279.24	$1,766.70	$2,638.25
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 $987.31 / $1,365.33 / $2,159.75	Professional		$987.31	$1,365.33	$2,159.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,039.67 / $1,183.40 / $1,637.43	Professional		$1,039.67	$1,183.40	$1,637.43