Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,682.00 / $10,836.00	Facility		$983.00	$3,682.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,319.55 / $1,515.07 / $1,957.13	Professional		$1,319.55	$1,515.07	$1,957.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,219.13 / $1,240.67 / $1,574.86	Professional		$1,219.13	$1,240.67	$1,574.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,240.33 / $1,240.33 / $1,240.33	Facility		$1,240.33	$1,240.33	$1,240.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,385.96 / $1,955.60 / $3,495.61	Professional		$1,385.96	$1,955.60	$3,495.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $23,908.48	Facility		$55.00	$55.00	$23,908.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,403.12 / $9,631.68 / $11,393.10	Professional		$9,403.12	$9,631.68	$11,393.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,284.72 / $1,598.79 / $3,525.22	Facility		$1,284.72	$1,598.79	$3,525.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,683.28 / $1,942.25 / $2,265.94	Professional		$1,683.28	$1,942.25	$2,265.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,234.19 / $1,357.61 / $2,218.78	Professional		$1,234.19	$1,357.61	$2,218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,284.72 / $1,636.28 / $3,608.36	Facility		$1,284.72	$1,636.28	$3,608.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,385.96 / $2,030.88 / $3,601.19	Professional		$1,385.96	$2,030.88	$3,601.19
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 $1,223.06 / $1,676.85 / $2,609.17	Professional		$1,223.06	$1,676.85	$2,609.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,105.09 / $1,267.70 / $1,731.08	Professional		$1,105.09	$1,267.70	$1,731.08