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 $1,499.41 / $1,713.12 / $2,050.76	Professional		$1,499.41	$1,713.12	$2,050.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,561.92 / $2,576.37 / $6,681.38	Facility		$1,561.92	$2,576.37	$6,681.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,376.26 / $1,753.98 / $2,390.11	Professional		$1,376.26	$1,753.98	$2,390.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,387.63 / $1,387.63 / $1,387.63	Facility		$1,387.63	$1,387.63	$1,387.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,578.60 / $2,061.77 / $3,216.96	Professional		$1,578.60	$2,061.77	$3,216.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $27,330.24	Facility		$55.00	$55.00	$27,330.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,752.72 / $11,016.64 / $12,977.40	Professional		$10,752.72	$11,016.64	$12,977.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,574.16 / $1,999.43 / $3,413.69	Facility		$1,574.16	$1,999.43	$3,413.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,920.44 / $2,215.89 / $2,585.21	Professional		$1,920.44	$2,215.89	$2,585.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,551.67 / $2,327.51 / $3,322.44	Professional		$1,551.67	$2,327.51	$3,322.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,574.16 / $2,046.41 / $3,863.17	Facility		$1,574.16	$2,046.41	$3,863.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,574.16 / $2,100.60 / $3,461.73	Professional		$1,574.16	$2,100.60	$3,461.73
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 $1,292.30 / $1,690.74 / $2,746.13	Professional		$1,292.30	$1,690.74	$2,746.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,260.80 / $1,443.72 / $1,977.52	Professional		$1,260.80	$1,443.72	$1,977.52