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 $1,120.25 / $1,281.58 / $1,530.38	Professional		$1,120.25	$1,281.58	$1,530.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.31 / $2,467.61 / $22,485.30	Facility		$940.31	$2,467.61	$22,485.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,042.52 / $1,319.58 / $1,838.46	Professional		$1,042.52	$1,319.58	$1,838.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,062.48 / $1,062.48 / $1,062.48	Facility		$1,062.48	$1,062.48	$1,062.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,179.01 / $1,578.56 / $2,553.06	Professional		$1,179.01	$1,578.56	$2,553.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $33,095.92	Facility		$55.00	$55.00	$33,095.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,932.00 / $11,932.00 / $11,932.00	Professional		$11,932.00	$11,932.00	$11,932.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,179.01 / $1,523.66 / $2,731.36	Facility		$1,179.01	$1,523.66	$2,731.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,434.34 / $1,655.01 / $1,930.85	Professional		$1,434.34	$1,655.01	$1,930.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,233.60 / $2,233.60 / $2,233.60	Professional		$2,233.60	$2,233.60	$2,233.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,179.01 / $1,532.71 / $2,906.38	Facility		$1,179.01	$1,532.71	$2,906.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,179.01 / $1,589.03 / $2,553.06	Professional		$1,179.01	$1,589.03	$2,553.06
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 $962.30 / $1,263.90 / $2,013.34	Professional		$962.30	$1,263.90	$2,013.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $941.67 / $1,077.02 / $1,475.32	Professional		$941.67	$1,077.02	$1,475.32