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 $1,183.44 / $1,431.47 / $2,333.56	Professional		$1,183.44	$1,431.47	$2,333.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,142.69 / $1,458.46 / $2,145.06	Professional		$1,142.69	$1,458.46	$2,145.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,388.60 / $1,451.06	Facility		$80.00	$1,388.60	$1,451.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,644.17 / $1,644.17 / $1,644.17	Facility		$1,644.17	$1,644.17	$1,644.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,410.01 / $1,894.09 / $2,837.57	Professional		$1,410.01	$1,894.09	$2,837.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,651.82	Facility		$55.00	$55.00	$14,651.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,016.00 / $10,237.84 / $12,958.43	Professional		$10,016.00	$10,237.84	$12,958.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,309.89 / $1,671.15 / $2,692.48	Facility		$1,309.89	$1,671.15	$2,692.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,784.31 / $2,141.17 / $2,655.06	Professional		$1,784.31	$2,141.17	$2,655.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.70 / $1,580.58 / $3,217.66	Professional		$1,436.70	$1,580.58	$3,217.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,312.15 / $1,671.15 / $2,780.62	Facility		$1,312.15	$1,671.15	$2,780.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,428.96 / $1,988.12 / $2,910.66	Professional		$1,428.96	$1,988.12	$2,910.66
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 $1,124.71 / $1,495.53 / $2,365.21	Professional		$1,124.71	$1,495.53	$2,365.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,218.29 / $1,380.63 / $1,898.52	Professional		$1,218.29	$1,380.63	$1,898.52