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 $1,091.11 / $1,261.34 / $1,508.01	Professional		$1,091.11	$1,261.34	$1,508.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,025.28 / $1,297.76 / $1,808.07	Professional		$1,025.28	$1,297.76	$1,808.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,019.80 / $1,019.80 / $1,019.80	Facility		$1,019.80	$1,019.80	$1,019.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,170.85 / $1,570.95 / $2,635.81	Professional		$1,170.85	$1,570.95	$2,635.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,233.44	Facility		$55.00	$55.00	$11,233.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,843.00 / $11,843.00 / $11,843.00	Professional		$11,843.00	$11,843.00	$11,843.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,165.96 / $1,522.12 / $2,926.18	Facility		$1,165.96	$1,522.12	$2,926.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,411.63 / $1,628.81 / $1,900.27	Professional		$1,411.63	$1,628.81	$1,900.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,418.50 / $1,418.50 / $1,418.50	Professional		$1,418.50	$1,418.50	$1,418.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,165.96 / $1,548.34 / $3,052.50	Facility		$1,165.96	$1,548.34	$3,052.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,170.85 / $1,578.49 / $2,763.95	Professional		$1,170.85	$1,578.49	$2,763.95
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 $957.96 / $1,257.32 / $2,013.82	Professional		$957.96	$1,257.32	$2,013.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $926.76 / $1,064.45 / $1,448.29	Professional		$926.76	$1,064.45	$1,448.29