Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,186.00 / $10,893.00	Facility		$872.00	$3,186.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,126.90 / $1,350.94 / $1,846.94	Professional		$1,126.90	$1,350.94	$1,846.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,080.27 / $8,160.54 / $15,940.25	Facility		$4,080.27	$8,160.54	$15,940.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,001.35 / $1,371.16 / $1,996.42	Professional		$1,001.35	$1,371.16	$1,996.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,031.94 / $1,031.94 / $1,031.94	Facility		$1,031.94	$1,031.94	$1,031.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,247.28 / $1,633.88 / $2,521.59	Professional		$1,247.28	$1,633.88	$2,521.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $11,644.00	Facility		$5,897.00	$5,897.00	$11,644.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,851.44 / $9,109.12 / $10,251.83	Professional		$8,851.44	$9,109.12	$10,251.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,201.44 / $1,609.78 / $2,695.50	Facility		$1,201.44	$1,609.78	$2,695.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,546.19 / $1,819.75 / $2,140.88	Professional		$1,546.19	$1,819.75	$2,140.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,765.00 / $1,765.00 / $1,765.00	Professional		$1,765.00	$1,765.00	$1,765.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,201.44 / $1,618.42 / $3,108.97	Facility		$1,201.44	$1,618.42	$3,108.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,251.78 / $1,675.47 / $2,581.07	Professional		$1,251.78	$1,675.47	$2,581.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,015.42 / $1,396.20 / $2,249.15	Professional		$1,015.42	$1,396.20	$2,249.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,015.10 / $1,159.05 / $1,603.81	Professional		$1,015.10	$1,159.05	$1,603.81