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 $1,118.04 / $1,291.66 / $1,545.21	Professional		$1,118.04	$1,291.66	$1,545.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,222.48 / $2,041.67 / $5,633.50	Facility		$1,222.48	$2,041.67	$5,633.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,049.59 / $1,328.54 / $1,850.95	Professional		$1,049.59	$1,328.54	$1,850.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,045.28 / $1,045.28 / $1,045.28	Facility		$1,045.28	$1,045.28	$1,045.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,198.06 / $1,631.77 / $2,527.10	Professional		$1,198.06	$1,631.77	$2,527.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,497.50	Facility		$55.00	$55.00	$11,497.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,151.00 / $10,151.00 / $10,151.00	Professional		$10,151.00	$10,151.00	$10,151.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,166.66 / $1,519.10 / $2,671.81	Facility		$1,166.66	$1,519.10	$2,671.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,444.43 / $1,666.65 / $1,944.43	Professional		$1,444.43	$1,666.65	$1,944.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,747.30 / $1,747.30 / $1,747.30	Professional		$1,747.30	$1,747.30	$1,747.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,166.66 / $1,553.23 / $2,926.12	Facility		$1,166.66	$1,553.23	$2,926.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,197.53 / $1,673.05 / $2,838.54	Professional		$1,197.53	$1,673.05	$2,838.54
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 $1,005.88 / $1,340.69 / $2,144.53	Professional		$1,005.88	$1,340.69	$2,144.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $948.29 / $1,089.15 / $1,482.18	Professional		$948.29	$1,089.15	$1,482.18