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 $1,234.23 / $1,466.58 / $1,750.66	Professional		$1,234.23	$1,466.58	$1,750.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,195.19 / $1,512.82 / $2,107.69	Professional		$1,195.19	$1,512.82	$2,107.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,233.29 / $1,233.29 / $1,233.29	Facility		$1,233.29	$1,233.29	$1,233.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,353.43 / $1,757.31 / $2,761.69	Professional		$1,353.43	$1,757.31	$2,761.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $23,440.32	Facility		$55.00	$55.00	$23,440.32
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 $1,332.40 / $1,670.57 / $2,970.00	Facility		$1,332.40	$1,670.57	$2,970.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,649.64 / $1,903.43 / $2,220.66	Professional		$1,649.64	$1,903.43	$2,220.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,163.10 / $2,163.10 / $2,163.10	Professional		$2,163.10	$2,163.10	$2,163.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,332.40 / $1,707.64 / $3,332.00	Facility		$1,332.40	$1,707.64	$3,332.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,353.43 / $1,815.20 / $2,860.85	Professional		$1,353.43	$1,815.20	$2,860.85
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 $1,099.14 / $1,442.63 / $2,265.21	Professional		$1,099.14	$1,442.63	$2,265.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,083.01 / $1,237.40 / $1,697.64	Professional		$1,083.01	$1,237.40	$1,697.64