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 $1,580.15 / $1,805.22 / $2,159.39	Professional		$1,580.15	$1,805.22	$2,159.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,642.42 / $2,758.76 / $8,631.98	Facility		$1,642.42	$2,758.76	$8,631.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,455.44 / $1,849.17 / $2,553.32	Professional		$1,455.44	$1,849.17	$2,553.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,516.75 / $1,516.75 / $1,516.75	Facility		$1,516.75	$1,516.75	$1,516.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,655.09 / $2,161.36 / $3,401.98	Professional		$1,655.09	$2,161.36	$3,401.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $28,711.04	Facility		$55.00	$55.00	$28,711.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,627.60 / $14,627.60 / $14,627.60	Professional		$14,627.60	$14,627.60	$14,627.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,592.36 / $1,997.63 / $3,625.33	Facility		$1,592.36	$1,997.63	$3,625.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,018.42 / $2,328.94 / $2,717.10	Professional		$2,018.42	$2,328.94	$2,717.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,509.22 / $1,655.09 / $2,688.33	Professional		$1,509.22	$1,655.09	$2,688.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,592.36 / $2,003.38 / $4,428.31	Facility		$1,592.36	$2,003.38	$4,428.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,655.09 / $2,229.98 / $3,721.58	Professional		$1,655.09	$2,229.98	$3,721.58
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 $1,359.28 / $1,715.37 / $2,840.84	Professional		$1,359.28	$1,715.37	$2,840.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,325.12 / $1,516.53 / $2,077.98	Professional		$1,325.12	$1,516.53	$2,077.98