Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.85 / $1,497.69 / $2,062.42	Professional		$1,237.85	$1,497.69	$2,062.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,248.13 / $1,579.83 / $2,201.05	Professional		$1,248.13	$1,579.83	$2,201.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,283.81 / $1,283.81 / $1,283.81	Facility		$1,283.81	$1,283.81	$1,283.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,395.98 / $1,826.99 / $2,823.40	Professional		$1,395.98	$1,826.99	$2,823.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $29,037.89	Facility		$55.00	$55.00	$29,037.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,848.32 / $9,848.32 / $11,682.08	Professional		$9,848.32	$9,848.32	$11,682.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,325.06 / $1,816.84 / $3,031.66	Facility		$1,325.06	$1,816.84	$3,031.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,455.98 / $2,025.14 / $2,382.52	Professional		$1,455.98	$2,025.14	$2,382.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,903.40 / $1,903.40 / $1,903.40	Professional		$1,903.40	$1,903.40	$1,903.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,317.63 / $1,828.29 / $3,428.19	Facility		$1,317.63	$1,828.29	$3,428.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,411.33 / $1,863.08 / $2,856.17	Professional		$1,411.33	$1,863.08	$2,856.17
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,000.00 / $8,759.00	Facility		$385.00	$2,000.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,126.51 / $1,502.12 / $2,432.00	Professional		$1,126.51	$1,502.12	$2,432.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,129.67 / $1,290.55 / $1,770.92	Professional		$1,129.67	$1,290.55	$1,770.92