Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,230.00 / $1,230.00	Facility		$1,200.00	$1,230.00	$1,230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,230.00 / $1,275.00	Professional		$1,200.00	$1,230.00	$1,275.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.65 / $171.65 / $171.65	Professional		$171.65	$171.65	$171.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $121.37 / $14,438.34 / $14,438.34	Facility		$121.37	$14,438.34	$14,438.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $3,000.00 / $5,130.00	Facility		$1,425.00	$3,000.00	$5,130.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,250.00 / $5,700.00 / $6,156.00	Professional		$5,250.00	$5,700.00	$6,156.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,500.00 / $2,607.60	Facility		$1,224.00	$1,500.00	$2,607.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,209.85 / $1,209.85 / $2,896.88	Professional		$1,209.85	$1,209.85	$2,896.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $245.46 / $1,795.94	Professional		$148.10	$245.46	$1,795.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,225.22 / $1,500.00 / $2,602.63	Facility		$1,225.22	$1,500.00	$2,602.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,266.25	Professional		$1,250.00	$1,250.00	$1,266.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,287.50 / $1,738.13	Professional		$1,000.00	$1,287.50	$1,738.13