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 $1,348.65 / $1,556.80 / $1,864.57	Professional		$1,348.65	$1,556.80	$1,864.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,257.65 / $1,500.79 / $2,184.12	Professional		$1,257.65	$1,500.79	$2,184.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,260.93 / $1,260.93 / $1,260.93	Facility		$1,260.93	$1,260.93	$1,260.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,426.18 / $1,894.55 / $2,995.68	Professional		$1,426.18	$1,894.55	$2,995.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,941.54	Facility		$55.00	$55.00	$16,941.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,151.00 / $10,151.00 / $11,850.83	Professional		$10,151.00	$10,151.00	$11,850.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,355.05 / $1,769.05 / $3,119.54	Facility		$1,355.05	$1,769.05	$3,119.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,741.73 / $2,009.69 / $2,344.63	Professional		$1,741.73	$2,009.69	$2,344.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,650.80 / $1,650.80 / $1,650.80	Professional		$1,650.80	$1,650.80	$1,650.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,355.05 / $1,782.90 / $3,530.22	Facility		$1,355.05	$1,782.90	$3,530.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,407.94 / $1,940.52 / $3,459.26	Professional		$1,407.94	$1,940.52	$3,459.26
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 $1,196.34 / $1,555.93 / $2,532.21	Professional		$1,196.34	$1,555.93	$2,532.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,143.47 / $1,313.61 / $1,787.01	Professional		$1,143.47	$1,313.61	$1,787.01