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 $1,228.32 / $1,405.00 / $1,722.79	Professional		$1,228.32	$1,405.00	$1,722.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,143.48 / $1,447.36 / $2,016.50	Professional		$1,143.48	$1,447.36	$2,016.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,166.85 / $1,166.85 / $1,166.85	Facility		$1,166.85	$1,166.85	$1,166.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,292.80 / $1,742.63 / $2,999.35	Professional		$1,292.80	$1,742.63	$2,999.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $22,339.36	Facility		$55.00	$55.00	$22,339.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,682.03 / $15,065.15 / $15,065.15	Professional		$10,682.03	$15,065.15	$15,065.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,281.58 / $1,636.65 / $2,809.72	Facility		$1,281.58	$1,636.65	$2,809.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,573.10 / $1,815.12 / $2,117.64	Professional		$1,573.10	$1,815.12	$2,117.64
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 $1,281.58 / $1,654.95 / $3,187.84	Facility		$1,281.58	$1,654.95	$3,187.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,292.80 / $1,816.12 / $3,288.55	Professional		$1,292.80	$1,816.12	$3,288.55
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 $1,058.08 / $1,429.27 / $2,267.13	Professional		$1,058.08	$1,429.27	$2,267.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,032.77 / $1,181.13 / $1,618.16	Professional		$1,032.77	$1,181.13	$1,618.16