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 $1,283.71 / $1,472.99 / $1,761.12	Professional		$1,283.71	$1,472.99	$1,761.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,194.26 / $1,511.65 / $2,106.06	Professional		$1,194.26	$1,511.65	$2,106.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,212.33 / $1,212.33 / $1,212.33	Facility		$1,212.33	$1,212.33	$1,212.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,349.44 / $1,780.76 / $2,790.28	Professional		$1,349.44	$1,780.76	$2,790.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $23,298.08	Facility		$55.00	$55.00	$23,298.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,847.00 / $18,481.68 / $18,481.68	Professional		$11,847.00	$18,481.68	$18,481.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,349.44 / $1,713.38 / $2,971.31	Facility		$1,349.44	$1,713.38	$2,971.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,639.96 / $1,892.27 / $2,207.64	Professional		$1,639.96	$1,892.27	$2,207.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,206.31 / $1,315.10 / $2,158.60	Professional		$1,206.31	$1,315.10	$2,158.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,349.44 / $1,754.27 / $3,328.57	Facility		$1,349.44	$1,754.27	$3,328.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,349.44 / $1,825.57 / $2,973.95	Professional		$1,349.44	$1,825.57	$2,973.95
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 $1,117.09 / $1,471.64 / $2,365.73	Professional		$1,117.09	$1,471.64	$2,365.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,076.66 / $1,234.57 / $1,686.80	Professional		$1,076.66	$1,234.57	$1,686.80