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 $1,256.83 / $1,452.66 / $1,742.83	Professional		$1,256.83	$1,452.66	$1,742.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,180.41 / $1,494.12 / $2,081.64	Professional		$1,180.41	$1,494.12	$2,081.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,173.73 / $1,173.73 / $1,173.73	Facility		$1,173.73	$1,173.73	$1,173.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,346.57 / $1,777.03 / $2,782.64	Professional		$1,346.57	$1,777.03	$2,782.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $15,803.59	Facility		$55.00	$55.00	$15,803.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,197.00 / $13,197.00 / $13,197.00	Professional		$13,197.00	$13,197.00	$13,197.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,342.08 / $1,743.58 / $3,043.62	Facility		$1,342.08	$1,743.58	$3,043.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,624.42 / $1,874.33 / $2,186.71	Professional		$1,624.42	$1,874.33	$2,186.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,401.60 / $2,126.11 / $4,667.93	Professional		$1,401.60	$2,126.11	$4,667.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,342.08 / $1,758.54 / $3,290.81	Facility		$1,342.08	$1,758.54	$3,290.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,346.57 / $1,813.55 / $3,141.04	Professional		$1,346.57	$1,813.55	$3,141.04
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 $1,101.17 / $1,408.14 / $2,348.34	Professional		$1,101.17	$1,408.14	$2,348.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,066.45 / $1,224.66 / $1,666.89	Professional		$1,066.45	$1,224.66	$1,666.89