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 $1,376.40 / $1,664.35 / $2,707.78	Professional		$1,376.40	$1,664.35	$2,707.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,328.63 / $1,695.78 / $2,643.96	Professional		$1,328.63	$1,695.78	$2,643.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,616.91 / $1,689.01	Facility		$80.00	$1,616.91	$1,689.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,911.67 / $1,911.67 / $1,911.67	Facility		$1,911.67	$1,911.67	$1,911.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,628.85 / $2,218.19 / $3,296.66	Professional		$1,628.85	$2,218.19	$3,296.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,036.37	Facility		$55.00	$55.00	$17,036.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,647.36 / $11,909.60 / $15,060.08	Professional		$11,647.36	$11,909.60	$15,060.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,535.58 / $1,938.03 / $3,091.56	Facility		$1,535.58	$1,938.03	$3,091.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,074.23 / $2,489.07 / $3,086.45	Professional		$2,074.23	$2,489.07	$3,086.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,728.90 / $1,840.66 / $3,741.48	Professional		$1,728.90	$1,840.66	$3,741.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,543.79 / $1,949.40 / $3,184.91	Facility		$1,543.79	$1,949.40	$3,184.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,607.76 / $2,288.77 / $3,373.57	Professional		$1,607.76	$2,288.77	$3,373.57
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 $1,312.55 / $1,744.98 / $2,780.81	Professional		$1,312.55	$1,744.98	$2,780.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,416.23 / $1,604.73 / $2,207.30	Professional		$1,416.23	$1,604.73	$2,207.30