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 $1,340.58 / $1,611.41 / $2,210.80	Professional		$1,340.58	$1,611.41	$2,210.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,334.93 / $1,689.70 / $2,354.12	Professional		$1,334.93	$1,689.70	$2,354.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,374.95 / $1,374.95 / $1,374.95	Facility		$1,374.95	$1,374.95	$1,374.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,510.85 / $1,953.28 / $3,006.85	Professional		$1,510.85	$1,953.28	$3,006.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $26,177.60	Facility		$55.00	$55.00	$26,177.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,799.88 / $10,799.88 / $12,507.53	Professional		$10,799.88	$10,799.88	$12,507.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,410.36 / $1,880.71 / $3,257.83	Facility		$1,410.36	$1,880.71	$3,257.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,558.81 / $2,168.16 / $2,550.78	Professional		$1,558.81	$2,168.16	$2,550.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,368.13 / $1,511.36 / $2,445.63	Professional		$1,368.13	$1,511.36	$2,445.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,410.36 / $1,880.71 / $3,669.22	Facility		$1,410.36	$1,880.71	$3,669.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,511.36 / $2,012.51 / $3,265.75	Professional		$1,511.36	$2,012.51	$3,265.75
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 $1,152.53 / $1,613.55 / $2,606.25	Professional		$1,152.53	$1,613.55	$2,606.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,209.45 / $1,381.87 / $1,895.86	Professional		$1,209.45	$1,381.87	$1,895.86