Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,553.00 / $12,040.00	Facility		$983.00	$3,553.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,311.02 / $1,589.96 / $2,118.38	Professional		$1,311.02	$1,589.96	$2,118.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,316.97 / $8,003.37 / $15,966.75	Facility		$4,316.97	$8,003.37	$15,966.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,310.60 / $1,658.92 / $1,890.13	Professional		$1,310.60	$1,658.92	$1,890.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,233.45 / $1,233.45 / $1,233.45	Facility		$1,233.45	$1,233.45	$1,233.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.91 / $1,898.66 / $2,902.12	Professional		$1,429.91	$1,898.66	$2,902.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $13,960.05	Facility		$55.00	$2,000.00	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,165.76 / $10,488.80 / $11,841.08	Professional		$10,165.76	$10,488.80	$11,841.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,394.91 / $1,862.97 / $3,030.14	Facility		$1,394.91	$1,862.97	$3,030.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,779.57 / $2,094.42 / $2,464.02	Professional		$1,779.57	$2,094.42	$2,464.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,034.50 / $2,034.50 / $2,034.50	Professional		$2,034.50	$2,034.50	$2,034.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,394.91 / $1,882.84 / $3,537.64	Facility		$1,394.91	$1,882.84	$3,537.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,435.03 / $1,937.47 / $3,002.79	Professional		$1,435.03	$1,937.47	$3,002.79
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 $1,169.19 / $1,594.30 / $2,494.48	Professional		$1,169.19	$1,594.30	$2,494.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,168.32 / $1,323.99 / $1,849.66	Professional		$1,168.32	$1,323.99	$1,849.66