Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,040.00	Facility		$969.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,501.03 / $1,738.13 / $2,076.73	Professional		$1,501.03	$1,738.13	$2,076.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,409.42 / $1,778.48 / $2,430.98	Professional		$1,409.42	$1,778.48	$2,430.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,452.28 / $1,452.28 / $1,452.28	Facility		$1,452.28	$1,452.28	$1,452.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.53 / $2,062.53 / $3,269.31	Professional		$1,590.53	$2,062.53	$3,269.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $27,569.28	Facility		$55.00	$55.00	$27,569.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,838.16 / $11,088.88 / $13,116.53	Professional		$10,838.16	$11,088.88	$13,116.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,590.53 / $1,979.84 / $3,485.49	Facility		$1,590.53	$1,979.84	$3,485.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,938.52 / $2,236.76 / $2,609.55	Professional		$1,938.52	$2,236.76	$2,609.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,444.30 / $1,590.53 / $2,878.18	Professional		$1,444.30	$1,590.53	$2,878.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,590.53 / $2,047.37 / $3,929.24	Facility		$1,590.53	$2,047.37	$3,929.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,590.53 / $2,148.23 / $3,480.91	Professional		$1,590.53	$2,148.23	$3,480.91
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 $1,307.59 / $1,726.31 / $2,781.25	Professional		$1,307.59	$1,726.31	$2,781.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,272.67 / $1,457.08 / $1,995.44	Professional		$1,272.67	$1,457.08	$1,995.44