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 $1,342.67 / $1,558.99 / $1,899.09	Professional		$1,342.67	$1,558.99	$1,899.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,287.83 / $1,630.09 / $2,271.08	Professional		$1,287.83	$1,630.09	$2,271.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,284.56 / $1,284.56 / $1,284.56	Facility		$1,284.56	$1,284.56	$1,284.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,457.82 / $1,847.62 / $2,519.44	Professional		$1,457.82	$1,847.62	$2,519.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,059.93	Facility		$55.00	$55.00	$11,059.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,088.25 / $10,119.04 / $12,101.78	Professional		$10,088.25	$10,119.04	$12,101.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,357.31 / $1,685.89 / $3,094.31	Facility		$1,357.31	$1,685.89	$3,094.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,779.15 / $2,052.87 / $2,463.44	Professional		$1,779.15	$2,052.87	$2,463.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,824.40 / $1,824.40 / $1,824.40	Professional		$1,824.40	$1,824.40	$1,824.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,357.31 / $1,698.62 / $3,477.38	Facility		$1,357.31	$1,698.62	$3,477.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,457.34 / $1,916.46 / $2,893.54	Professional		$1,457.34	$1,916.46	$2,893.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,239.00 / $8,759.00	Facility		$1,154.00	$3,239.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,483.06 / $2,402.31	Professional		$1,120.00	$1,483.06	$2,402.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,168.04 / $1,332.11 / $1,831.26	Professional		$1,168.04	$1,332.11	$1,831.26