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 $1,700.97 / $2,066.60 / $3,299.57	Professional		$1,700.97	$2,066.60	$3,299.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,650.79 / $2,106.96 / $2,896.08	Professional		$1,650.79	$2,106.96	$2,896.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,959.98 / $2,062.06	Facility		$80.00	$1,959.98	$2,062.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,381.78 / $3,603.00 / $6,702.00	Facility		$2,381.78	$3,603.00	$6,702.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,082.42 / $2,800.82 / $4,124.54	Professional		$2,082.42	$2,800.82	$4,124.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $25,738.68	Facility		$55.00	$5,000.00	$25,738.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,500.80 / $14,715.60 / $18,709.28	Professional		$14,500.80	$14,715.60	$18,709.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,951.17 / $2,495.65 / $4,012.07	Facility		$1,951.17	$2,495.65	$4,012.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.34 / $3,084.41 / $3,824.66	Professional		$2,570.34	$3,084.41	$3,824.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,321.81 / $3,485.70 / $7,631.81	Professional		$2,321.81	$3,485.70	$7,631.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,976.43 / $2,499.30 / $4,080.29	Facility		$1,976.43	$2,499.30	$4,080.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,105.83 / $2,904.26 / $4,241.39	Professional		$2,105.83	$2,904.26	$4,241.39
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 $1,652.84 / $2,203.79 / $3,541.20	Professional		$1,652.84	$2,203.79	$3,541.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,754.96 / $1,991.83 / $2,731.00	Professional		$1,754.96	$1,991.83	$2,731.00