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 $1,524.51 / $1,845.81 / $2,945.98	Professional		$1,524.51	$1,845.81	$2,945.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,481.89 / $1,993.90 / $2,975.16	Professional		$1,481.89	$1,993.90	$2,975.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,780.48 / $1,863.53	Facility		$80.00	$1,780.48	$1,863.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,122.21 / $2,122.21 / $2,122.21	Facility		$2,122.21	$2,122.21	$2,122.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,816.43 / $2,464.03 / $3,657.07	Professional		$1,816.43	$2,464.03	$3,657.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $18,867.41	Facility		$55.00	$55.00	$18,867.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,895.92 / $13,189.76 / $16,699.88	Professional		$12,895.92	$13,189.76	$16,699.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,735.20 / $2,191.08 / $3,508.84	Facility		$1,735.20	$2,191.08	$3,508.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,298.63 / $2,758.35 / $3,420.35	Professional		$2,298.63	$2,758.35	$3,420.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,982.50 / $2,025.36 / $4,139.68	Professional		$1,982.50	$2,025.36	$4,139.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,735.20 / $2,191.12 / $3,559.48	Facility		$1,735.20	$2,191.12	$3,559.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,816.43 / $2,569.00 / $3,742.13	Professional		$1,816.43	$2,569.00	$3,742.13
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 $1,460.39 / $1,940.25 / $3,057.09	Professional		$1,460.39	$1,940.25	$3,057.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,569.45 / $1,779.15 / $2,445.11	Professional		$1,569.45	$1,779.15	$2,445.11