Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,570.00 / $10,836.00	Facility		$969.00	$3,570.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,240.16 / $1,416.85 / $1,700.12	Professional		$1,240.16	$1,416.85	$1,700.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,154.56 / $1,461.39 / $2,036.04	Professional		$1,154.56	$1,461.39	$2,036.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,187.91 / $1,187.91 / $1,187.91	Facility		$1,187.91	$1,187.91	$1,187.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,307.89 / $1,744.74 / $2,817.78	Professional		$1,307.89	$1,744.74	$2,817.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $36,780.64	Facility		$55.00	$55.00	$36,780.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,750.00 / $20,100.03 / $20,100.03	Professional		$18,750.00	$20,100.03	$20,100.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,307.89 / $1,665.01 / $3,520.07	Facility		$1,307.89	$1,665.01	$3,520.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,593.29 / $1,838.42 / $2,144.82	Professional		$1,593.29	$1,838.42	$2,144.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,182.01 / $1,307.89 / $2,129.12	Professional		$1,182.01	$1,307.89	$2,129.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,307.89 / $1,700.26 / $3,520.07	Facility		$1,307.89	$1,700.26	$3,520.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,307.89 / $1,771.06 / $2,880.40	Professional		$1,307.89	$1,771.06	$2,880.40
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 $1,062.48 / $1,394.51 / $2,257.77	Professional		$1,062.48	$1,394.51	$2,257.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,046.02 / $1,195.39 / $1,639.40	Professional		$1,046.02	$1,195.39	$1,639.40