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 $1,441.81 / $1,666.83 / $2,022.72	Professional		$1,441.81	$1,666.83	$2,022.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,345.08 / $1,708.96 / $2,335.96	Professional		$1,345.08	$1,708.96	$2,335.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,347.75 / $1,347.75 / $1,347.75	Facility		$1,347.75	$1,347.75	$1,347.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,544.57 / $2,057.17 / $3,141.56	Professional		$1,544.57	$2,057.17	$3,141.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $26,360.80	Facility		$55.00	$55.00	$26,360.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,342.24 / $10,612.00 / $12,671.48	Professional		$10,342.24	$10,612.00	$12,671.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,538.98 / $2,007.94 / $3,335.57	Facility		$1,538.98	$2,007.94	$3,335.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.84 / $2,149.42 / $2,507.66	Professional		$1,862.84	$2,149.42	$2,507.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,541.90 / $1,587.90 / $1,615.59	Professional		$1,541.90	$1,587.90	$1,615.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,538.98 / $2,018.03 / $3,776.50	Facility		$1,538.98	$2,018.03	$3,776.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,544.57 / $2,084.78 / $3,691.86	Professional		$1,544.57	$2,084.78	$3,691.86
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 $1,280.91 / $1,661.66 / $2,690.30	Professional		$1,280.91	$1,661.66	$2,690.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,222.98 / $1,404.86 / $1,911.48	Professional		$1,222.98	$1,404.86	$1,911.48