Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $3,596.00 / $12,040.00	Facility		$1,086.00	$3,596.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.26 / $1,338.57 / $1,712.22	Professional		$1,055.26	$1,338.57	$1,712.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,831.92 / $7,615.33 / $14,115.04	Facility		$3,831.92	$7,615.33	$14,115.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,111.53 / $1,416.59 / $1,949.99	Professional		$1,111.53	$1,416.59	$1,949.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,062.22 / $1,062.22 / $1,062.22	Facility		$1,062.22	$1,062.22	$1,062.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.97 / $1,496.72 / $2,236.77	Professional		$1,117.97	$1,496.72	$2,236.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,960.05	Facility		$55.00	$55.00	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,762.00 / $8,991.20 / $10,207.65	Professional		$8,762.00	$8,991.20	$10,207.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,062.98 / $1,361.38 / $2,534.79	Facility		$1,062.98	$1,361.38	$2,534.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,534.00 / $1,805.40 / $2,124.00	Professional		$1,534.00	$1,805.40	$2,124.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,325.00 / $1,325.00 / $1,325.00	Professional		$1,325.00	$1,325.00	$1,325.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,062.98 / $1,368.48 / $2,599.53	Facility		$1,062.98	$1,368.48	$2,599.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,117.97 / $1,540.29 / $2,411.73	Professional		$1,117.97	$1,540.29	$2,411.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $874.81 / $1,221.27 / $2,051.17	Professional		$874.81	$1,221.27	$2,051.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,007.09 / $1,141.48 / $1,594.27	Professional		$1,007.09	$1,141.48	$1,594.27