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 $1,415.59 / $1,618.94 / $1,933.88	Professional		$1,415.59	$1,618.94	$1,933.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,313.38 / $1,662.42 / $2,316.13	Professional		$1,313.38	$1,662.42	$2,316.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,361.31 / $1,361.31 / $1,361.31	Facility		$1,361.31	$1,361.31	$1,361.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,482.49 / $1,933.70 / $3,042.71	Professional		$1,482.49	$1,933.70	$3,042.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,730.24	Facility		$55.00	$55.00	$25,730.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,113.84 / $10,343.44 / $12,236.55	Professional		$10,113.84	$10,343.44	$12,236.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,460.78 / $1,838.77 / $3,243.30	Facility		$1,460.78	$1,838.77	$3,243.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,808.59 / $2,086.83 / $2,434.64	Professional		$1,808.59	$2,086.83	$2,434.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,354.55 / $1,482.49 / $2,409.50	Professional		$1,354.55	$1,482.49	$2,409.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,460.78 / $1,844.33 / $3,661.51	Facility		$1,460.78	$1,844.33	$3,661.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,482.49 / $1,995.08 / $3,292.12	Professional		$1,482.49	$1,995.08	$3,292.12
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 $1,216.05 / $1,596.09 / $2,541.69	Professional		$1,216.05	$1,596.09	$2,541.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,187.35 / $1,358.67 / $1,862.16	Professional		$1,187.35	$1,358.67	$1,862.16