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 $1,313.34 / $1,587.44 / $2,114.01	Professional		$1,313.34	$1,587.44	$2,114.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,322.92 / $1,674.50 / $2,281.81	Professional		$1,322.92	$1,674.50	$2,281.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,204.48 / $1,204.48 / $1,204.48	Facility		$1,204.48	$1,204.48	$1,204.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,457.55 / $1,908.82 / $2,987.62	Professional		$1,457.55	$1,908.82	$2,987.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $31,073.93	Facility		$55.00	$55.00	$31,073.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,402.64 / $10,672.24 / $12,037.88	Professional		$10,402.64	$10,672.24	$12,037.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,417.29 / $1,892.96 / $3,065.29	Facility		$1,417.29	$1,892.96	$3,065.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,537.11 / $2,137.98 / $2,515.27	Professional		$1,537.11	$2,137.98	$2,515.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,196.19 / $2,196.19 / $2,196.19	Professional		$2,196.19	$2,196.19	$2,196.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,409.34 / $1,898.05 / $3,638.83	Facility		$1,409.34	$1,898.05	$3,638.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,457.55 / $1,909.48 / $3,169.33	Professional		$1,457.55	$1,909.48	$3,169.33
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 $1,156.31 / $1,589.93 / $2,457.16	Professional		$1,156.31	$1,589.93	$2,457.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,192.60 / $1,363.45 / $1,883.61	Professional		$1,192.60	$1,363.45	$1,883.61