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 $1,386.00 / $1,531.48 / $2,120.55	Professional		$1,386.00	$1,531.48	$2,120.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,455.65 / $2,444.51 / $8,317.00	Facility		$1,455.65	$2,444.51	$8,317.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,307.79 / $1,370.24 / $1,580.29	Professional		$1,307.79	$1,370.24	$1,580.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,276.60 / $1,276.60 / $1,276.60	Facility		$1,276.60	$1,276.60	$1,276.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,482.22 / $1,959.35 / $3,024.89	Professional		$1,482.22	$1,959.35	$3,024.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,210.64	Facility		$55.00	$55.00	$13,210.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,555.60 / $10,796.64 / $12,029.78	Professional		$10,555.60	$10,796.64	$12,029.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,433.07 / $1,903.04 / $3,223.44	Facility		$1,433.07	$1,903.04	$3,223.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,547.78 / $2,152.82 / $2,532.73	Professional		$1,547.78	$2,152.82	$2,532.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,128.00 / $2,128.00 / $2,128.00	Professional		$2,128.00	$2,128.00	$2,128.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,433.07 / $1,928.25 / $3,445.83	Facility		$1,433.07	$1,928.25	$3,445.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,482.22 / $1,990.38 / $3,058.76	Professional		$1,482.22	$1,990.38	$3,058.76
United Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $2,546.00 / $9,024.00	Facility		$448.00	$2,546.00	$9,024.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,215.50 / $1,671.31 / $2,582.92	Professional		$1,215.50	$1,671.31	$2,582.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,200.89 / $1,376.71 / $1,899.02	Professional		$1,200.89	$1,376.71	$1,899.02