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 $1,397.07 / $1,589.31 / $1,908.62	Professional		$1,397.07	$1,589.31	$1,908.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,296.15 / $1,641.03 / $2,285.73	Professional		$1,296.15	$1,641.03	$2,285.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,339.87 / $1,339.87 / $1,339.87	Facility		$1,339.87	$1,339.87	$1,339.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,461.57 / $1,915.53 / $3,017.61	Professional		$1,461.57	$1,915.53	$3,017.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $33,277.86	Facility		$55.00	$55.00	$33,277.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,425.64 / $11,425.64 / $12,055.50	Professional		$11,425.64	$11,425.64	$12,055.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,460.75 / $1,820.23 / $3,720.00	Facility		$1,460.75	$1,820.23	$3,720.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,782.09 / $2,056.26 / $2,398.96	Professional		$1,782.09	$2,056.26	$2,398.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,329.79 / $1,460.75 / $2,641.14	Professional		$1,329.79	$1,460.75	$2,641.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,460.75 / $1,898.98 / $3,960.00	Facility		$1,460.75	$1,898.98	$3,960.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,460.75 / $1,980.60 / $3,248.24	Professional		$1,460.75	$1,980.60	$3,248.24
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 $1,198.75 / $1,616.46 / $2,559.90	Professional		$1,198.75	$1,616.46	$2,559.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,169.97 / $1,338.88 / $1,834.91	Professional		$1,169.97	$1,338.88	$1,834.91