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 $1,072.76 / $1,301.01 / $1,763.53	Professional		$1,072.76	$1,301.01	$1,763.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,104.08 / $1,397.50 / $1,947.02	Professional		$1,104.08	$1,397.50	$1,947.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,011.20 / $1,011.20 / $1,011.20	Facility		$1,011.20	$1,011.20	$1,011.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.28 / $1,597.55 / $2,457.09	Professional		$1,224.28	$1,597.55	$2,457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,976.42	Facility		$55.00	$55.00	$25,976.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,848.32 / $9,848.32 / $10,066.65	Professional		$9,848.32	$9,848.32	$10,066.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,169.50 / $1,543.04 / $2,790.00	Facility		$1,169.50	$1,543.04	$2,790.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,284.48 / $1,786.60 / $2,101.88	Professional		$1,284.48	$1,786.60	$2,101.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,833.30 / $1,833.30 / $1,833.30	Professional		$1,833.30	$1,833.30	$1,833.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,169.50 / $1,543.04 / $3,078.00	Facility		$1,169.50	$1,543.04	$3,078.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,228.78 / $1,619.60 / $2,491.01	Professional		$1,228.78	$1,619.60	$2,491.01
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 $988.28 / $1,358.89 / $2,100.10	Professional		$988.28	$1,358.89	$2,100.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $996.61 / $1,137.76 / $1,574.61	Professional		$996.61	$1,137.76	$1,574.61