Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $3,894.00 / $13,004.00	Facility		$1,244.00	$3,894.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,224.65 / $1,658.53 / $2,592.83	Professional		$1,224.65	$1,658.53	$2,592.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,371.68 / $1,672.75 / $2,308.11	Professional		$1,371.68	$1,672.75	$2,308.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,275.19 / $1,275.19 / $1,331.90	Facility		$1,275.19	$1,275.19	$1,331.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,953.70 / $1,953.70 / $2,017.56	Facility		$1,953.70	$1,953.70	$2,017.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,404.96 / $1,811.83 / $2,638.83	Professional		$1,404.96	$1,811.83	$2,638.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,264.20 / $26,542.00 / $26,542.00	Facility		$10,264.20	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,894.88 / $11,285.44 / $12,389.78	Professional		$10,894.88	$11,285.44	$12,389.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,401.53 / $1,774.90 / $2,515.44	Facility		$1,401.53	$1,774.90	$2,515.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,401.53 / $2,173.19 / $5,306.00	Professional		$1,401.53	$2,173.19	$5,306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,395.39 / $1,505.26 / $1,629.84	Professional		$1,395.39	$1,505.26	$1,629.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,401.53 / $1,791.69 / $2,879.73	Facility		$1,401.53	$1,791.69	$2,879.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,401.53 / $1,880.57 / $2,829.55	Professional		$1,401.53	$1,880.57	$2,829.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,116.98 / $1,469.18 / $2,160.08	Professional		$1,116.98	$1,469.18	$2,160.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,236.51 / $1,401.53 / $1,964.52	Professional		$1,236.51	$1,401.53	$1,964.52