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 / $10,893.00	Facility		$969.00	$3,596.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,325.63 / $1,514.82 / $1,808.77	Professional		$1,325.63	$1,514.82	$1,808.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,228.74 / $1,555.28 / $2,166.86	Professional		$1,228.74	$1,555.28	$2,166.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,264.88 / $1,264.88 / $1,264.88	Facility		$1,264.88	$1,264.88	$1,264.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.79 / $1,798.05 / $2,826.14	Professional		$1,389.79	$1,798.05	$2,826.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $24,083.36	Facility		$55.00	$55.00	$24,083.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,930.40 / $11,930.40 / $11,930.40	Professional		$11,930.40	$11,930.40	$11,930.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,335.32 / $1,653.25 / $3,010.27	Facility		$1,335.32	$1,653.25	$3,010.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,694.21 / $1,954.86 / $2,280.67	Professional		$1,694.21	$1,954.86	$2,280.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,257.98 / $1,389.79 / $2,251.84	Professional		$1,257.98	$1,389.79	$2,251.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,335.32 / $1,679.17 / $3,676.73	Facility		$1,335.32	$1,679.17	$3,676.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,389.79 / $1,851.81 / $3,049.31	Professional		$1,389.79	$1,851.81	$3,049.31
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 $1,128.58 / $1,487.12 / $2,346.19	Professional		$1,128.58	$1,487.12	$2,346.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,112.28 / $1,271.73 / $1,743.75	Professional		$1,112.28	$1,271.73	$1,743.75