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 $1,393.20 / $1,608.08 / $1,926.90	Professional		$1,393.20	$1,608.08	$1,926.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,300.14 / $1,656.97 / $2,308.53	Professional		$1,300.14	$1,656.97	$2,308.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,302.96 / $1,302.96 / $1,302.96	Facility		$1,302.96	$1,302.96	$1,302.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,474.68 / $1,961.01 / $3,191.29	Professional		$1,474.68	$1,961.01	$3,191.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,501.33	Facility		$55.00	$55.00	$17,501.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,151.00 / $10,248.32 / $12,242.40	Professional		$10,151.00	$10,248.32	$12,242.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,396.12 / $1,827.68 / $3,311.29	Facility		$1,396.12	$1,827.68	$3,311.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,799.34 / $2,076.17 / $2,422.19	Professional		$1,799.34	$2,076.17	$2,422.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,756.40 / $1,756.40 / $1,756.40	Professional		$1,756.40	$1,756.40	$1,756.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,396.12 / $1,893.45 / $3,649.50	Facility		$1,396.12	$1,893.45	$3,649.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,472.71 / $2,026.76 / $3,601.35	Professional		$1,472.71	$2,026.76	$3,601.35
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 $1,237.17 / $1,642.44 / $2,596.09	Professional		$1,237.17	$1,642.44	$2,596.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,181.30 / $1,357.19 / $1,846.06	Professional		$1,181.30	$1,357.19	$1,846.06