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 $1,397.81 / $1,596.27 / $1,917.09	Professional		$1,397.81	$1,596.27	$1,917.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,105.91 / $1,794.16 / $2,804.28	Professional		$1,105.91	$1,794.16	$2,804.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,345.15 / $1,345.15 / $1,345.15	Facility		$1,345.15	$1,345.15	$1,345.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,467.79 / $1,910.78 / $3,006.85	Professional		$1,467.79	$1,910.78	$3,006.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,466.24	Facility		$55.00	$55.00	$25,466.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,010.48 / $10,243.28 / $12,111.08	Professional		$10,010.48	$10,243.28	$12,111.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,457.61 / $1,828.21 / $3,207.39	Facility		$1,457.61	$1,828.21	$3,207.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,790.09 / $2,065.48 / $2,409.73	Professional		$1,790.09	$2,065.48	$2,409.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,906.20 / $1,906.20 / $1,906.20	Professional		$1,906.20	$1,906.20	$1,906.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,457.61 / $1,851.67 / $3,627.19	Facility		$1,457.61	$1,851.67	$3,627.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,467.49 / $1,975.17 / $3,174.61	Professional		$1,467.49	$1,975.17	$3,174.61
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 $1,188.85 / $1,580.19 / $2,516.21	Professional		$1,188.85	$1,580.19	$2,516.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,175.22 / $1,344.89 / $1,843.06	Professional		$1,175.22	$1,344.89	$1,843.06