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 $1,165.56 / $1,346.49 / $1,609.53	Professional		$1,165.56	$1,346.49	$1,609.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,093.92 / $1,384.64 / $1,929.11	Professional		$1,093.92	$1,384.64	$1,929.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,088.98 / $1,088.98 / $1,088.98	Facility		$1,088.98	$1,088.98	$1,088.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,248.94 / $1,635.37 / $2,676.60	Professional		$1,248.94	$1,635.37	$2,676.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $21,318.56	Facility		$55.00	$55.00	$21,318.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,743.00 / $10,743.00 / $10,743.00	Professional		$10,743.00	$10,743.00	$10,743.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,244.68 / $1,611.43 / $2,743.28	Facility		$1,244.68	$1,611.43	$2,743.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,506.25 / $1,737.98 / $2,027.64	Professional		$1,506.25	$1,737.98	$2,027.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,135.40 / $1,497.74 / $4,317.55	Professional		$1,135.40	$1,497.74	$4,317.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,244.68 / $1,630.39 / $3,048.83	Facility		$1,244.68	$1,630.39	$3,048.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,248.11 / $1,682.50 / $2,920.80	Professional		$1,248.11	$1,682.50	$2,920.80
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 $1,034.74 / $1,340.06 / $2,168.19	Professional		$1,034.74	$1,340.06	$2,168.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $988.87 / $1,135.40 / $1,545.82	Professional		$988.87	$1,135.40	$1,545.82