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 $1,435.17 / $1,633.93 / $1,970.14	Professional		$1,435.17	$1,633.93	$1,970.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,482.22 / $2,444.90 / $8,114.00	Facility		$1,482.22	$2,444.90	$8,114.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,329.80 / $1,694.76 / $2,309.42	Professional		$1,329.80	$1,694.76	$2,309.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,196.49 / $1,196.49 / $1,196.49	Facility		$1,196.49	$1,196.49	$1,196.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,372.79 / $1,937.11 / $3,048.47	Professional		$1,372.79	$1,937.11	$3,048.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $23,421.28	Facility		$55.00	$55.00	$23,421.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,187.68 / $10,680.80 / $11,260.20	Professional		$9,187.68	$10,680.80	$11,260.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,372.17 / $1,780.17 / $3,239.49	Facility		$1,372.17	$1,780.17	$3,239.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,655.11 / $1,909.74 / $2,228.03	Professional		$1,655.11	$1,909.74	$2,228.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,101.30 / $1,101.30 / $1,101.30	Professional		$1,101.30	$1,101.30	$1,101.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,372.17 / $1,782.00 / $3,731.02	Facility		$1,372.17	$1,782.00	$3,731.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,372.17 / $1,977.14 / $3,288.03	Professional		$1,372.17	$1,977.14	$3,288.03
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 $1,209.29 / $1,604.46 / $2,569.19	Professional		$1,209.29	$1,604.46	$2,569.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,086.59 / $1,247.99 / $1,698.35	Professional		$1,086.59	$1,247.99	$1,698.35