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 $1,159.34 / $1,289.11 / $1,784.36	Professional		$1,159.34	$1,289.11	$1,784.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,101.13 / $1,153.72 / $1,330.58	Professional		$1,101.13	$1,153.72	$1,330.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,079.31 / $1,079.31 / $1,079.31	Facility		$1,079.31	$1,079.31	$1,079.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.10 / $1,645.50 / $2,545.58	Professional		$1,249.10	$1,645.50	$2,545.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,746.37	Facility		$55.00	$55.00	$9,746.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,764.62 / $9,764.62 / $10,146.00	Professional		$9,764.62	$9,764.62	$10,146.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,205.99 / $1,598.82 / $2,772.00	Facility		$1,205.99	$1,598.82	$2,772.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,304.77 / $1,814.81 / $2,135.07	Professional		$1,304.77	$1,814.81	$2,135.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,852.30 / $1,852.30 / $1,852.30	Professional		$1,852.30	$1,852.30	$1,852.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,205.99 / $1,598.82 / $3,090.88	Facility		$1,205.99	$1,598.82	$3,090.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,249.10 / $1,663.01 / $2,767.20	Professional		$1,249.10	$1,663.01	$2,767.20
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 $1,020.33 / $1,402.96 / $2,325.07	Professional		$1,020.33	$1,402.96	$2,325.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,012.34 / $1,159.56 / $1,601.18	Professional		$1,012.34	$1,159.56	$1,601.18