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 $1,174.83 / $1,357.37 / $1,629.17	Professional		$1,174.83	$1,357.37	$1,629.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,102.84 / $1,395.94 / $1,944.85	Professional		$1,102.84	$1,395.94	$1,944.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,097.83 / $1,097.83 / $1,097.83	Facility		$1,097.83	$1,097.83	$1,097.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.39 / $1,686.34 / $2,816.94	Professional		$1,258.39	$1,686.34	$2,816.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,767.61	Facility		$55.00	$55.00	$14,767.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,151.00 / $10,151.00 / $10,323.68	Professional		$10,151.00	$10,151.00	$10,323.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,254.09 / $1,634.72 / $2,705.42	Facility		$1,254.09	$1,634.72	$2,705.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,517.61 / $1,751.09 / $2,042.93	Professional		$1,517.61	$1,751.09	$2,042.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.71 / $1,586.10 / $2,019.56	Professional		$1,390.71	$1,586.10	$2,019.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,254.09 / $1,643.47 / $3,074.57	Facility		$1,254.09	$1,643.47	$3,074.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,257.48 / $1,732.38 / $2,980.95	Professional		$1,257.48	$1,732.38	$2,980.95
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 $1,048.34 / $1,381.33 / $2,185.37	Professional		$1,048.34	$1,381.33	$2,185.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $996.33 / $1,143.99 / $1,557.50	Professional		$996.33	$1,143.99	$1,557.50