Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,511.00 / $10,836.00	Facility		$923.00	$3,511.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,345.41 / $1,466.38 / $2,176.76	Professional		$1,345.41	$1,466.38	$2,176.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,396.70 / $2,444.23 / $12,157.14	Facility		$1,396.70	$2,444.23	$12,157.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,116.25 / $1,528.48 / $2,225.48	Professional		$1,116.25	$1,528.48	$2,225.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,224.14 / $1,224.14 / $1,224.14	Facility		$1,224.14	$1,224.14	$1,224.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,419.88 / $1,876.19 / $2,896.68	Professional		$1,419.88	$1,876.19	$2,896.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,661.36	Facility		$55.00	$55.00	$12,661.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,530.13 / $12,225.55 / $12,628.99	Professional		$11,530.13	$12,225.55	$12,628.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,372.32 / $1,823.42 / $3,088.20	Facility		$1,372.32	$1,823.42	$3,088.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,483.38 / $2,063.25 / $2,427.35	Professional		$1,483.38	$2,063.25	$2,427.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,080.50 / $2,080.50 / $2,080.50	Professional		$2,080.50	$2,080.50	$2,080.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,372.32 / $1,845.49 / $3,299.36	Facility		$1,372.32	$1,845.49	$3,299.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,419.88 / $1,905.75 / $2,984.16	Professional		$1,419.88	$1,905.75	$2,984.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,163.82 / $1,600.25 / $2,473.11	Professional		$1,163.82	$1,600.25	$2,473.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,150.93 / $1,319.25 / $1,820.06	Professional		$1,150.93	$1,319.25	$1,820.06