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 $1,157.71 / $1,322.93 / $1,579.86	Professional		$1,157.71	$1,322.93	$1,579.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,073.30 / $1,358.54 / $1,892.74	Professional		$1,073.30	$1,358.54	$1,892.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,117.98 / $1,117.98 / $1,117.98	Facility		$1,117.98	$1,117.98	$1,117.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,211.22 / $1,626.84 / $2,631.62	Professional		$1,211.22	$1,626.84	$2,631.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $21,044.00	Facility		$55.00	$55.00	$21,044.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,761.00 / $11,761.00 / $11,761.00	Professional		$11,761.00	$11,761.00	$11,761.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,210.50 / $1,541.77 / $2,643.53	Facility		$1,210.50	$1,541.77	$2,643.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,478.49 / $1,705.95 / $1,990.28	Professional		$1,478.49	$1,705.95	$1,990.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,110.08 / $1,210.50 / $1,978.79	Professional		$1,110.08	$1,210.50	$1,978.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,210.50 / $1,564.22 / $2,991.34	Facility		$1,210.50	$1,564.22	$2,991.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,210.50 / $1,638.17 / $2,643.59	Professional		$1,210.50	$1,638.17	$2,643.59
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 $991.46 / $1,301.29 / $2,050.30	Professional		$991.46	$1,301.29	$2,050.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $970.65 / $1,110.08 / $1,522.77	Professional		$970.65	$1,110.08	$1,522.77