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 $1,036.69 / $1,231.33 / $1,533.49	Professional		$1,036.69	$1,231.33	$1,533.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,120.40 / $1,848.08 / $5,383.63	Facility		$1,120.40	$1,848.08	$5,383.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,006.81 / $1,274.38 / $1,775.50	Professional		$1,006.81	$1,274.38	$1,775.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,045.92 / $1,045.92 / $1,045.92	Facility		$1,045.92	$1,045.92	$1,045.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,169.66 / $1,470.49 / $2,118.50	Professional		$1,169.66	$1,470.49	$2,118.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $20,423.20	Facility		$55.00	$55.00	$20,423.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,007.12 / $8,080.40 / $9,745.58	Professional		$8,007.12	$8,080.40	$9,745.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,129.78 / $1,394.85 / $2,448.71	Facility		$1,129.78	$1,394.85	$2,448.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.02 / $1,656.95 / $1,933.10	Professional		$1,436.02	$1,656.95	$1,933.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,384.31 / $2,057.12 / $4,192.47	Professional		$1,384.31	$2,057.12	$4,192.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,129.78 / $1,403.19 / $2,807.70	Facility		$1,129.78	$1,403.19	$2,807.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,160.70 / $1,517.17 / $2,273.94	Professional		$1,160.70	$1,517.17	$2,273.94
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,547.00 / $9,000.00	Facility		$495.00	$2,547.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $924.47 / $1,212.80 / $1,909.51	Professional		$924.47	$1,212.80	$1,909.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $942.77 / $1,075.98 / $1,478.72	Professional		$942.77	$1,075.98	$1,478.72