Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,570.00 / $12,281.00	Facility		$969.00	$3,570.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.79 / $1,310.45 / $2,096.96	Professional		$1,084.79	$1,310.45	$2,096.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,296.88 / $2,299.53 / $11,437.44	Facility		$1,296.88	$2,299.53	$11,437.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,083.57 / $1,441.16 / $2,063.23	Professional		$1,083.57	$1,441.16	$2,063.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,280.17 / $1,335.55	Facility		$80.00	$1,280.17	$1,335.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,504.93 / $1,504.93 / $1,504.93	Facility		$1,504.93	$1,504.93	$1,504.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.19 / $1,738.00 / $2,573.91	Professional		$1,269.19	$1,738.00	$2,573.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,426.56	Facility		$55.00	$55.00	$13,426.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,182.00 / $9,388.40 / $11,856.23	Professional		$9,182.00	$9,388.40	$11,856.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,199.82 / $1,516.51 / $2,418.82	Facility		$1,199.82	$1,516.51	$2,418.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,633.90 / $1,960.68 / $2,431.23	Professional		$1,633.90	$1,960.68	$2,431.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.20 / $1,459.63 / $2,948.85	Professional		$1,374.20	$1,459.63	$2,948.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,209.63 / $1,530.41 / $2,534.92	Facility		$1,209.63	$1,530.41	$2,534.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,264.39 / $1,802.36 / $2,653.74	Professional		$1,264.39	$1,802.36	$2,653.74
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 $1,027.33 / $1,357.69 / $2,189.94	Professional		$1,027.33	$1,357.69	$2,189.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,115.58 / $1,263.76 / $1,739.26	Professional		$1,115.58	$1,263.76	$1,739.26