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 $1,393.24 / $1,600.22 / $1,918.75	Professional		$1,393.24	$1,600.22	$1,918.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,304.11 / $1,656.91 / $2,264.82	Professional		$1,304.11	$1,656.91	$2,264.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,247.72 / $1,247.72 / $1,247.72	Facility		$1,247.72	$1,247.72	$1,247.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,478.95 / $1,968.44 / $3,088.11	Professional		$1,478.95	$1,968.44	$3,088.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,290.40	Facility		$55.00	$55.00	$25,290.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,923.12 / $10,231.20 / $12,132.23	Professional		$9,923.12	$10,231.20	$12,132.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,475.87 / $1,918.63 / $3,235.67	Facility		$1,475.87	$1,918.63	$3,235.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,785.04 / $2,059.67 / $2,402.94	Professional		$1,785.04	$2,059.67	$2,402.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,974.30 / $1,974.30 / $1,974.30	Professional		$1,974.30	$1,974.30	$1,974.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,475.87 / $1,945.74 / $3,660.65	Facility		$1,475.87	$1,945.74	$3,660.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,475.87 / $2,007.10 / $3,393.15	Professional		$1,475.87	$2,007.10	$3,393.15
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 $1,233.70 / $1,602.57 / $2,588.71	Professional		$1,233.70	$1,602.57	$2,588.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,171.91 / $1,344.50 / $1,833.14	Professional		$1,171.91	$1,344.50	$1,833.14