Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,570.00 / $10,836.00	Facility		$969.00	$3,570.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.46 / $1,301.92 / $1,556.42	Professional		$1,137.46	$1,301.92	$1,556.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,057.29 / $1,338.28 / $1,864.52	Professional		$1,057.29	$1,338.28	$1,864.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,104.60 / $1,104.60 / $1,104.60	Facility		$1,104.60	$1,104.60	$1,104.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,193.04 / $1,554.45 / $2,442.48	Professional		$1,193.04	$1,554.45	$2,442.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $20,741.12	Facility		$55.00	$55.00	$20,741.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,227.00 / $10,227.00 / $10,227.00	Professional		$10,227.00	$10,227.00	$10,227.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,192.47 / $1,483.53 / $2,600.75	Facility		$1,192.47	$1,483.53	$2,600.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,457.05 / $1,681.22 / $1,961.42	Professional		$1,457.05	$1,681.22	$1,961.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,893.40 / $1,893.40 / $1,893.40	Professional		$1,893.40	$1,893.40	$1,893.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,192.47 / $1,550.21 / $2,948.43	Facility		$1,192.47	$1,550.21	$2,948.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,192.47 / $1,612.03 / $2,587.11	Professional		$1,192.47	$1,612.03	$2,587.11
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 $975.58 / $1,288.10 / $2,038.61	Professional		$975.58	$1,288.10	$2,038.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $956.58 / $1,093.69 / $1,500.84	Professional		$956.58	$1,093.69	$1,500.84