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 $1,334.79 / $1,581.86 / $1,889.26	Professional		$1,334.79	$1,581.86	$1,889.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,287.22 / $1,629.31 / $2,269.98	Professional		$1,287.22	$1,629.31	$2,269.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,309.73 / $1,309.73 / $1,309.73	Facility		$1,309.73	$1,309.73	$1,309.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,455.58 / $1,946.87 / $3,120.68	Professional		$1,455.58	$1,946.87	$3,120.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,127.20	Facility		$55.00	$55.00	$25,127.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,529.00 / $16,540.23 / $16,540.23	Professional		$12,529.00	$16,540.23	$16,540.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,455.58 / $1,873.52 / $3,156.21	Facility		$1,455.58	$1,873.52	$3,156.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,769.90 / $2,042.19 / $2,382.56	Professional		$1,769.90	$2,042.19	$2,382.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,646.00 / $2,646.00 / $2,646.00	Professional		$2,646.00	$2,646.00	$2,646.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,455.58 / $1,892.25 / $3,588.57	Facility		$1,455.58	$1,892.25	$3,588.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,455.58 / $1,963.10 / $3,171.87	Professional		$1,455.58	$1,963.10	$3,171.87
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 $1,188.65 / $1,563.22 / $2,495.48	Professional		$1,188.65	$1,563.22	$2,495.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,161.97 / $1,329.40 / $1,820.23	Professional		$1,161.97	$1,329.40	$1,820.23