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 $1,269.27 / $1,466.42 / $1,752.93	Professional		$1,269.27	$1,466.42	$1,752.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,192.73 / $1,509.70 / $2,103.35	Professional		$1,192.73	$1,509.70	$2,103.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,188.60 / $1,188.60 / $1,188.60	Facility		$1,188.60	$1,188.60	$1,188.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,351.57 / $1,784.33 / $2,836.80	Professional		$1,351.57	$1,784.33	$2,836.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $15,989.93	Facility		$55.00	$55.00	$15,989.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,420.00 / $11,420.00 / $11,420.00	Professional		$11,420.00	$11,420.00	$11,420.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,327.31 / $1,667.30 / $2,929.29	Facility		$1,327.31	$1,667.30	$2,929.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,643.33 / $1,896.15 / $2,212.17	Professional		$1,643.33	$1,896.15	$2,212.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,700.30 / $1,700.30 / $1,700.30	Professional		$1,700.30	$1,700.30	$1,700.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,327.31 / $1,682.07 / $3,325.14	Facility		$1,327.31	$1,682.07	$3,325.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,326.25 / $1,832.15 / $3,248.22	Professional		$1,326.25	$1,832.15	$3,248.22
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 $1,147.74 / $1,509.42 / $2,303.66	Professional		$1,147.74	$1,509.42	$2,303.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,078.86 / $1,238.70 / $1,686.49	Professional		$1,078.86	$1,238.70	$1,686.49