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 $1,289.31 / $1,545.81 / $1,846.16	Professional		$1,289.31	$1,545.81	$1,846.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.11 / $1,581.95 / $2,162.36	Professional		$1,245.11	$1,581.95	$2,162.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,298.20 / $1,298.20 / $1,298.20	Facility		$1,298.20	$1,298.20	$1,298.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.46 / $1,849.55 / $2,897.44	Professional		$1,427.46	$1,849.55	$2,897.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $32,234.16	Facility		$55.00	$55.00	$32,234.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,125.00 / $13,125.00 / $13,125.00	Professional		$13,125.00	$13,125.00	$13,125.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,414.79 / $1,727.60 / $3,057.63	Facility		$1,414.79	$1,727.60	$3,057.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,728.27 / $1,994.16 / $2,326.52	Professional		$1,728.27	$1,994.16	$2,326.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,292.06 / $1,418.81 / $2,299.73	Professional		$1,292.06	$1,418.81	$2,299.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,414.79 / $1,761.17 / $3,495.04	Facility		$1,414.79	$1,761.17	$3,495.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,418.81 / $1,904.84 / $3,113.46	Professional		$1,418.81	$1,904.84	$3,113.46
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 $1,088.36 / $1,505.68 / $2,395.40	Professional		$1,088.36	$1,505.68	$2,395.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,134.64 / $1,297.69 / $1,778.42	Professional		$1,134.64	$1,297.69	$1,778.42