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 $1,312.73 / $1,569.34 / $2,160.11	Professional		$1,312.73	$1,569.34	$2,160.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,305.38 / $1,652.29 / $2,302.02	Professional		$1,305.38	$1,652.29	$2,302.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,330.58 / $1,330.58 / $1,330.58	Facility		$1,330.58	$1,330.58	$1,330.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,478.08 / $1,922.76 / $2,958.49	Professional		$1,478.08	$1,922.76	$2,958.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $28,720.62	Facility		$55.00	$55.00	$28,720.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,010.56 / $10,259.12 / $12,213.23	Professional		$10,010.56	$10,259.12	$12,213.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,382.34 / $1,921.60 / $3,255.00	Facility		$1,382.34	$1,921.60	$3,255.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,521.45 / $2,116.19 / $2,489.65	Professional		$1,521.45	$2,116.19	$2,489.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,204.69 / $2,204.69 / $2,204.69	Professional		$2,204.69	$2,204.69	$2,204.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,374.29 / $1,969.02 / $3,639.20	Facility		$1,374.29	$1,969.02	$3,639.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,478.15 / $1,972.65 / $3,006.87	Professional		$1,478.15	$1,972.65	$3,006.87
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 $1,202.50 / $1,653.44 / $2,555.32	Professional		$1,202.50	$1,653.44	$2,555.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,180.47 / $1,350.07 / $1,849.38	Professional		$1,180.47	$1,350.07	$1,849.38