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 $1,335.94 / $1,543.94 / $1,845.89	Professional		$1,335.94	$1,543.94	$1,845.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.33 / $1,588.40 / $2,164.48	Professional		$1,246.33	$1,588.40	$2,164.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,247.67 / $1,247.67 / $1,247.67	Facility		$1,247.67	$1,247.67	$1,247.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.54 / $1,876.66 / $2,908.61	Professional		$1,431.54	$1,876.66	$2,908.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,742.82	Facility		$55.00	$55.00	$13,742.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,583.52 / $9,826.95 / $11,747.63	Professional		$9,583.52	$9,826.95	$11,747.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,426.40 / $1,845.37 / $3,081.34	Facility		$1,426.40	$1,845.37	$3,081.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,726.60 / $1,992.23 / $2,324.26	Professional		$1,726.60	$1,992.23	$2,324.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,249.81 / $2,586.71 / $4,997.72	Professional		$2,249.81	$2,586.71	$4,997.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,426.40 / $1,861.00 / $3,498.47	Facility		$1,426.40	$1,861.00	$3,498.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,431.54 / $1,918.39 / $3,356.82	Professional		$1,431.54	$1,918.39	$3,356.82
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 $1,185.63 / $1,538.12 / $2,490.30	Professional		$1,185.63	$1,538.12	$2,490.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,133.54 / $1,301.88 / $1,771.66	Professional		$1,133.54	$1,301.88	$1,771.66