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 $1,246.83 / $1,426.19 / $1,704.88	Professional		$1,246.83	$1,426.19	$1,704.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,161.02 / $1,469.57 / $2,047.44	Professional		$1,161.02	$1,469.57	$2,047.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,185.18 / $1,185.18 / $1,185.18	Facility		$1,185.18	$1,185.18	$1,185.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.84 / $1,722.24 / $2,653.51	Professional		$1,313.84	$1,722.24	$2,653.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $22,694.56	Facility		$55.00	$55.00	$22,694.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,654.00 / $10,654.00 / $10,855.50	Professional		$10,654.00	$10,654.00	$10,855.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,313.84 / $1,639.73 / $2,842.94	Facility		$1,313.84	$1,639.73	$2,842.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,598.34 / $1,844.24 / $2,151.61	Professional		$1,598.34	$1,844.24	$2,151.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,054.80 / $2,054.80 / $2,054.80	Professional		$2,054.80	$2,054.80	$2,054.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,313.84 / $1,689.17 / $3,237.61	Facility		$1,313.84	$1,689.17	$3,237.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,313.84 / $1,782.74 / $2,712.48	Professional		$1,313.84	$1,782.74	$2,712.48
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,547.00 / $9,000.00	Facility		$495.00	$2,547.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.72 / $1,406.63 / $2,245.07	Professional		$1,071.72	$1,406.63	$2,245.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,049.33 / $1,200.10 / $1,643.99	Professional		$1,049.33	$1,200.10	$1,643.99