Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $13,004.00	Facility		$945.00	$3,682.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.57 / $1,477.48 / $1,777.43	Professional		$1,294.57	$1,477.48	$1,777.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,205.04 / $1,525.28 / $2,125.06	Professional		$1,205.04	$1,525.28	$2,125.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,248.13 / $1,248.13 / $1,248.13	Facility		$1,248.13	$1,248.13	$1,248.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,365.27 / $1,771.67 / $2,791.00	Professional		$1,365.27	$1,771.67	$2,791.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $38,458.42	Facility		$55.00	$55.00	$38,458.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,784.00 / $12,784.00 / $12,784.00	Professional		$12,784.00	$12,784.00	$12,784.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,365.27 / $1,671.15 / $2,936.92	Facility		$1,365.27	$1,671.15	$2,936.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,665.20 / $1,921.38 / $2,241.61	Professional		$1,665.20	$1,921.38	$2,241.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,241.32 / $1,365.27 / $2,208.03	Professional		$1,241.32	$1,365.27	$2,208.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,365.27 / $1,683.30 / $3,358.60	Facility		$1,365.27	$1,683.30	$3,358.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,365.27 / $1,827.66 / $2,997.83	Professional		$1,365.27	$1,827.66	$2,997.83
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 $1,080.76 / $1,435.35 / $2,315.08	Professional		$1,080.76	$1,435.35	$2,315.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,093.23 / $1,248.55 / $1,713.95	Professional		$1,093.23	$1,248.55	$1,713.95