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 $1,194.25 / $1,379.65 / $1,650.90	Professional		$1,194.25	$1,379.65	$1,650.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.32 / $1,419.68 / $1,977.42	Professional		$1,121.32	$1,419.68	$1,977.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,114.55 / $1,114.55 / $1,114.55	Facility		$1,114.55	$1,114.55	$1,114.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,278.58 / $1,696.56 / $2,638.24	Professional		$1,278.58	$1,696.56	$2,638.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $21,824.48	Facility		$55.00	$55.00	$21,824.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,227.00 / $15,227.00 / $15,227.00	Professional		$15,227.00	$15,227.00	$15,227.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,274.22 / $1,653.80 / $3,389.76	Facility		$1,274.22	$1,653.80	$3,389.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,542.00 / $1,779.23 / $2,075.76	Professional		$1,542.00	$1,779.23	$2,075.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,848.90 / $1,848.90 / $1,848.90	Professional		$1,848.90	$1,848.90	$1,848.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,274.22 / $1,670.50 / $3,487.50	Facility		$1,274.22	$1,670.50	$3,487.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,277.74 / $1,724.59 / $2,972.40	Professional		$1,277.74	$1,724.59	$2,972.40
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 $1,044.29 / $1,360.39 / $2,219.11	Professional		$1,044.29	$1,360.39	$2,219.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,012.34 / $1,162.34 / $1,582.50	Professional		$1,012.34	$1,162.34	$1,582.50