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 / $12,040.00	Facility		$969.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,125.94 / $1,337.74 / $1,607.44	Professional		$1,125.94	$1,337.74	$1,607.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,090.83 / $1,380.74 / $1,923.68	Professional		$1,090.83	$1,380.74	$1,923.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,128.49 / $1,128.49 / $1,128.49	Facility		$1,128.49	$1,128.49	$1,128.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,235.09 / $1,634.60 / $2,583.63	Professional		$1,235.09	$1,634.60	$2,583.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $21,404.80	Facility		$55.00	$55.00	$21,404.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,197.06 / $10,197.06 / $10,221.53	Professional		$10,197.06	$10,197.06	$10,221.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,216.25 / $1,524.00 / $2,657.29	Facility		$1,216.25	$1,524.00	$2,657.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,505.83 / $1,737.50 / $2,027.08	Professional		$1,505.83	$1,737.50	$2,027.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,255.10 / $2,255.10 / $2,255.10	Professional		$2,255.10	$2,255.10	$2,255.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,216.25 / $1,530.00 / $3,041.11	Facility		$1,216.25	$1,530.00	$3,041.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,234.32 / $1,654.10 / $2,621.97	Professional		$1,234.32	$1,654.10	$2,621.97
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 $984.64 / $1,314.55 / $2,095.23	Professional		$984.64	$1,314.55	$2,095.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $988.60 / $1,129.07 / $1,550.03	Professional		$988.60	$1,129.07	$1,550.03