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 $1,087.72 / $1,242.75 / $1,484.09	Professional		$1,087.72	$1,242.75	$1,484.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.74 / $1,275.55 / $1,777.13	Professional		$1,007.74	$1,275.55	$1,777.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,051.28 / $1,051.28 / $1,051.28	Facility		$1,051.28	$1,051.28	$1,051.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,138.14 / $1,497.55 / $2,351.30	Professional		$1,138.14	$1,497.55	$2,351.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,773.75	Facility		$55.00	$55.00	$19,773.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,102.00 / $12,102.00 / $12,102.00	Professional		$12,102.00	$12,102.00	$12,102.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,128.90 / $1,402.03 / $2,483.86	Facility		$1,128.90	$1,402.03	$2,483.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,389.35 / $1,603.10 / $1,870.28	Professional		$1,389.35	$1,603.10	$1,870.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,043.07 / $1,137.58 / $1,849.93	Professional		$1,043.07	$1,137.58	$1,849.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,128.90 / $1,415.98 / $2,811.99	Facility		$1,128.90	$1,415.98	$2,811.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,137.58 / $1,539.58 / $2,503.14	Professional		$1,137.58	$1,539.58	$2,503.14
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 $931.98 / $1,223.22 / $1,956.63	Professional		$931.98	$1,223.22	$1,956.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.13 / $1,043.07 / $1,430.92	Professional		$912.13	$1,043.07	$1,430.92