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 $1,193.92 / $1,444.59 / $1,989.23	Professional		$1,193.92	$1,444.59	$1,989.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.88 / $1,522.56 / $2,121.26	Professional		$1,202.88	$1,522.56	$2,121.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,225.90 / $1,225.90 / $1,225.90	Facility		$1,225.90	$1,225.90	$1,225.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,361.19 / $1,770.78 / $2,746.95	Professional		$1,361.19	$1,770.78	$2,746.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $27,912.14	Facility		$55.00	$55.00	$27,912.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,218.08 / $9,447.36 / $11,243.33	Professional		$9,218.08	$9,447.36	$11,243.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,272.48 / $1,766.84 / $2,943.05	Facility		$1,272.48	$1,766.84	$2,943.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,400.83 / $1,948.42 / $2,292.26	Professional		$1,400.83	$1,948.42	$2,292.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,231.90 / $2,231.90 / $2,231.90	Professional		$2,231.90	$2,231.90	$2,231.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,264.68 / $1,769.55 / $3,352.75	Facility		$1,264.68	$1,769.55	$3,352.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,361.34 / $1,819.51 / $2,776.85	Professional		$1,361.34	$1,819.51	$2,776.85
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,092.20 / $1,526.01 / $2,358.38	Professional		$1,092.20	$1,526.01	$2,358.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,086.88 / $1,243.27 / $1,702.70	Professional		$1,086.88	$1,243.27	$1,702.70