Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $10,893.00	Facility		$969.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,385.32 / $1,584.17 / $1,892.28	Professional		$1,385.32	$1,584.17	$1,892.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,276.59 / $1,579.19 / $2,217.04	Professional		$1,276.59	$1,579.19	$2,217.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,333.43 / $1,333.43 / $1,333.43	Facility		$1,333.43	$1,333.43	$1,333.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,450.28 / $1,906.78 / $3,128.87	Professional		$1,450.28	$1,906.78	$3,128.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,176.32	Facility		$55.00	$55.00	$25,176.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,063.00 / $14,063.00 / $14,063.00	Professional		$14,063.00	$14,063.00	$14,063.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,439.44 / $1,770.93 / $3,172.24	Facility		$1,439.44	$1,770.93	$3,172.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,769.48 / $2,041.71 / $2,382.00	Professional		$1,769.48	$2,041.71	$2,382.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,326.82 / $1,450.13 / $2,358.14	Professional		$1,326.82	$1,450.13	$2,358.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,439.44 / $1,804.72 / $3,583.43	Facility		$1,439.44	$1,804.72	$3,583.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,450.13 / $2,005.99 / $3,214.57	Professional		$1,450.13	$2,005.99	$3,214.57
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 $1,185.58 / $1,571.16 / $2,486.67	Professional		$1,185.58	$1,571.16	$2,486.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,161.69 / $1,329.21 / $1,822.01	Professional		$1,161.69	$1,329.21	$1,822.01