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 $2,274.04 / $2,767.21 / $4,549.46	Professional		$2,274.04	$2,767.21	$4,549.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,805.43 / $4,719.59 / $16,173.72	Facility		$2,805.43	$4,719.59	$16,173.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,223.11 / $3,044.17 / $4,777.91	Professional		$2,223.11	$3,044.17	$4,777.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,602.11 / $2,744.64	Facility		$80.00	$2,602.11	$2,744.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,193.94 / $3,603.00 / $6,702.00	Facility		$3,193.94	$3,603.00	$6,702.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,788.89 / $3,776.42 / $5,579.65	Professional		$2,788.89	$3,776.42	$5,579.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $34,426.15	Facility		$55.00	$5,000.00	$34,426.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,493.34 / $19,678.08 / $25,067.93	Professional		$19,493.34	$19,678.08	$25,067.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,660.36 / $3,322.38 / $5,399.56	Facility		$2,660.36	$3,322.38	$5,399.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,440.86 / $4,129.04 / $5,120.00	Professional		$3,440.86	$4,129.04	$5,120.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,102.30 / $4,664.05 / $10,218.20	Professional		$3,102.30	$4,664.05	$10,218.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,660.36 / $3,344.60 / $5,499.45	Facility		$2,660.36	$3,344.60	$5,499.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,832.31 / $3,894.76 / $5,695.51	Professional		$2,832.31	$3,894.76	$5,695.51
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 $2,208.31 / $2,953.87 / $4,782.46	Professional		$2,208.31	$2,953.87	$4,782.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,349.34 / $2,667.94 / $3,653.95	Professional		$2,349.34	$2,667.94	$3,653.95