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 $1,142.27 / $1,270.59 / $1,759.46	Professional		$1,142.27	$1,270.59	$1,759.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,211.59 / $2,042.25 / $5,635.11	Facility		$1,211.59	$2,042.25	$5,635.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,085.54 / $1,137.39 / $1,311.74	Professional		$1,085.54	$1,137.39	$1,311.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,061.24 / $1,061.24 / $1,061.24	Facility		$1,061.24	$1,061.24	$1,061.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,218.11 / $1,624.47 / $2,509.50	Professional		$1,218.11	$1,624.47	$2,509.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,967.92	Facility		$55.00	$55.00	$10,967.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,503.76 / $9,503.76 / $9,986.10	Professional		$9,503.76	$9,503.76	$9,986.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,188.31 / $1,522.78 / $2,672.58	Facility		$1,188.31	$1,522.78	$2,672.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,284.83 / $1,787.09 / $2,102.44	Professional		$1,284.83	$1,787.09	$2,102.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,635.10 / $1,635.10 / $1,635.10	Professional		$1,635.10	$1,635.10	$1,635.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,188.31 / $1,532.03 / $2,858.85	Facility		$1,188.31	$1,532.03	$2,858.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.08 / $1,640.09 / $2,728.81	Professional		$1,230.08	$1,640.09	$2,728.81
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 $1,007.91 / $1,385.88 / $2,163.16	Professional		$1,007.91	$1,385.88	$2,163.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $996.88 / $1,142.55 / $1,576.57	Professional		$996.88	$1,142.55	$1,576.57