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 $1,084.45 / $1,206.18 / $1,670.71	Professional		$1,084.45	$1,206.18	$1,670.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,030.52 / $1,079.73 / $1,245.25	Professional		$1,030.52	$1,079.73	$1,245.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,009.10 / $1,009.10 / $1,009.10	Facility		$1,009.10	$1,009.10	$1,009.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,168.74 / $1,542.93 / $2,382.46	Professional		$1,168.74	$1,542.93	$2,382.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,420.32	Facility		$55.00	$55.00	$10,420.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,088.82 / $11,088.82 / $11,088.82	Professional		$11,088.82	$11,088.82	$11,088.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,128.71 / $1,500.37 / $2,713.91	Facility		$1,128.71	$1,500.37	$2,713.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.79 / $1,698.01 / $1,997.66	Professional		$1,220.79	$1,698.01	$1,997.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,774.60 / $1,774.60 / $1,774.60	Professional		$1,774.60	$1,774.60	$1,774.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,128.71 / $1,516.62 / $2,892.66	Facility		$1,128.71	$1,516.62	$2,892.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,168.74 / $1,572.25 / $2,590.08	Professional		$1,168.74	$1,572.25	$2,590.08
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 $956.52 / $1,315.22 / $2,032.61	Professional		$956.52	$1,315.22	$2,032.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $947.19 / $1,085.40 / $1,497.93	Professional		$947.19	$1,085.40	$1,497.93