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 $1,108.82 / $1,340.85 / $1,850.74	Professional		$1,108.82	$1,340.85	$1,850.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,117.93 / $1,415.03 / $1,971.45	Professional		$1,117.93	$1,415.03	$1,971.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,148.23 / $1,148.23 / $1,148.23	Facility		$1,148.23	$1,148.23	$1,148.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,265.53 / $1,647.63 / $2,556.26	Professional		$1,265.53	$1,647.63	$2,556.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,793.49	Facility		$55.00	$55.00	$17,793.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,587.04 / $8,792.95 / $10,467.68	Professional		$8,587.04	$8,792.95	$10,467.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,186.33 / $1,566.00 / $2,729.12	Facility		$1,186.33	$1,566.00	$2,729.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,304.40 / $1,814.30 / $2,134.48	Professional		$1,304.40	$1,814.30	$2,134.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,913.50 / $1,913.50 / $1,913.50	Professional		$1,913.50	$1,913.50	$1,913.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,179.45 / $1,582.87 / $3,073.90	Facility		$1,179.45	$1,582.87	$3,073.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,272.38 / $1,687.05 / $2,707.06	Professional		$1,272.38	$1,687.05	$2,707.06
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 $1,028.11 / $1,413.67 / $2,184.76	Professional		$1,028.11	$1,413.67	$2,184.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,012.06 / $1,156.71 / $1,586.16	Professional		$1,012.06	$1,156.71	$1,586.16