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 $1,323.40 / $1,471.67 / $2,028.63	Professional		$1,323.40	$1,471.67	$2,028.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,346.54 / $1,766.52 / $2,181.46	Professional		$1,346.54	$1,766.52	$2,181.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,296.81 / $1,296.81 / $1,296.81	Facility		$1,296.81	$1,296.81	$1,296.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,436.07 / $1,863.34 / $2,862.70	Professional		$1,436.07	$1,863.34	$2,862.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,121.11	Facility		$55.00	$55.00	$11,121.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,296.85 / $11,296.85 / $12,157.13	Professional		$11,296.85	$11,296.85	$12,157.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,361.97 / $1,737.46 / $3,099.67	Facility		$1,361.97	$1,737.46	$3,099.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,512.91 / $2,104.32 / $2,475.67	Professional		$1,512.91	$2,104.32	$2,475.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,827.30 / $1,827.30 / $1,827.30	Professional		$1,827.30	$1,827.30	$1,827.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,358.64 / $1,745.22 / $3,363.79	Facility		$1,358.64	$1,745.22	$3,363.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,436.07 / $1,873.10 / $2,963.02	Professional		$1,436.07	$1,873.10	$2,963.02
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 $1,104.34 / $1,532.37 / $2,437.44	Professional		$1,104.34	$1,532.37	$2,437.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,173.83 / $1,337.91 / $1,841.06	Professional		$1,173.83	$1,337.91	$1,841.06