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 $900.36 / $1,158.11 / $1,893.38	Professional		$900.36	$1,158.11	$1,893.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,581.32 / $2,819.73 / $5,691.05	Facility		$1,581.32	$2,819.73	$5,691.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,160.39 / $1,210.92	Facility		$80.00	$1,160.39	$1,210.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.34 / $1,366.34 / $1,366.34	Facility		$1,366.34	$1,366.34	$1,366.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.52 / $1,416.85 / $2,163.87	Professional		$1,025.52	$1,416.85	$2,163.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,897.74	Facility		$55.00	$55.00	$14,897.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,520.27 / $9,520.27 / $10,766.10	Professional		$9,520.27	$9,520.27	$10,766.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $984.93 / $1,240.53 / $2,082.13	Facility		$984.93	$1,240.53	$2,082.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,483.49 / $1,780.19 / $2,207.42	Professional		$1,483.49	$1,780.19	$2,207.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,216.70 / $1,216.70 / $1,216.70	Professional		$1,216.70	$1,216.70	$1,216.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $984.93 / $1,246.13 / $2,112.12	Facility		$984.93	$1,246.13	$2,112.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,080.92 / $1,489.77 / $2,359.38	Professional		$1,080.92	$1,489.77	$2,359.38
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,193.00 / $4,509.00	Facility		$600.00	$2,193.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $1,148.58 / $1,868.39	Professional		$791.70	$1,148.58	$1,868.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,012.89 / $1,147.50 / $1,579.04	Professional		$1,012.89	$1,147.50	$1,579.04