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 $1,376.71 / $1,613.26 / $1,927.05	Professional		$1,376.71	$1,613.26	$1,927.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,300.14 / $1,656.97 / $2,561.27	Professional		$1,300.14	$1,656.97	$2,561.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,356.72 / $1,356.72 / $1,356.72	Facility		$1,356.72	$1,356.72	$1,356.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,476.86 / $1,926.85 / $3,029.38	Professional		$1,476.86	$1,926.85	$3,029.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,635.52	Facility		$55.00	$55.00	$25,635.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,636.00 / $13,636.00 / $13,636.00	Professional		$13,636.00	$13,636.00	$13,636.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,421.28 / $1,786.56 / $3,231.83	Facility		$1,421.28	$1,786.56	$3,231.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,801.87 / $2,079.08 / $2,425.59	Professional		$1,801.87	$2,079.08	$2,425.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,349.99 / $1,476.86 / $2,401.41	Professional		$1,349.99	$1,476.86	$2,401.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,421.28 / $1,802.78 / $3,645.62	Facility		$1,421.28	$1,802.78	$3,645.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,476.86 / $1,988.02 / $3,037.66	Professional		$1,476.86	$1,988.02	$3,037.66
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 $1,188.58 / $1,564.00 / $2,543.98	Professional		$1,188.58	$1,564.00	$2,543.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,182.95 / $1,353.60 / $1,855.28	Professional		$1,182.95	$1,353.60	$1,855.28