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 $1,216.95 / $1,406.47 / $1,682.40	Professional		$1,216.95	$1,406.47	$1,682.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,143.17 / $1,446.97 / $1,991.82	Professional		$1,143.17	$1,446.97	$1,991.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,137.63 / $1,137.63 / $1,137.63	Facility		$1,137.63	$1,137.63	$1,137.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.33 / $1,748.30 / $2,835.70	Professional		$1,305.33	$1,748.30	$2,835.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $15,304.30	Facility		$55.00	$55.00	$15,304.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,151.00 / $10,151.00 / $10,708.50	Professional		$10,151.00	$10,151.00	$10,708.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,299.65 / $1,640.40 / $2,810.87	Facility		$1,299.65	$1,640.40	$2,810.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,573.53 / $1,815.62 / $2,118.21	Professional		$1,573.53	$1,815.62	$2,118.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,035.00 / $2,367.87 / $4,567.35	Professional		$2,035.00	$2,367.87	$4,567.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,299.65 / $1,656.78 / $3,186.98	Facility		$1,299.65	$1,656.78	$3,186.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,305.26 / $1,787.67 / $3,103.93	Professional		$1,305.26	$1,787.67	$3,103.93
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,547.00 / $9,000.00	Facility		$495.00	$2,547.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.85 / $1,465.59 / $2,298.96	Professional		$1,081.85	$1,465.59	$2,298.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,033.05 / $1,186.67 / $1,614.37	Professional		$1,033.05	$1,186.67	$1,614.37