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 $1,165.61 / $1,346.99 / $1,611.17	Professional		$1,165.61	$1,346.99	$1,611.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,087.38 / $1,265.58 / $1,888.41	Professional		$1,087.38	$1,265.58	$1,888.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,089.65 / $1,089.65 / $1,089.65	Facility		$1,089.65	$1,089.65	$1,089.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,233.28 / $1,638.14 / $2,585.65	Professional		$1,233.28	$1,638.14	$2,585.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,991.33	Facility		$55.00	$55.00	$11,991.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,151.00 / $10,151.00 / $10,251.68	Professional		$10,151.00	$10,151.00	$10,251.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,169.53 / $1,485.52 / $2,691.68	Facility		$1,169.53	$1,485.52	$2,691.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,506.67 / $1,738.47 / $2,028.22	Professional		$1,506.67	$1,738.47	$2,028.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,493.20 / $1,493.20 / $1,493.20	Professional		$1,493.20	$1,493.20	$1,493.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,169.53 / $1,488.66 / $3,051.40	Facility		$1,169.53	$1,488.66	$3,051.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,218.01 / $1,674.56 / $2,873.93	Professional		$1,218.01	$1,674.56	$2,873.93
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 $1,035.04 / $1,342.58 / $2,149.92	Professional		$1,035.04	$1,342.58	$2,149.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $989.15 / $1,136.18 / $1,545.91	Professional		$989.15	$1,136.18	$1,545.91