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 $1,222.01 / $1,356.42 / $1,872.03	Professional		$1,222.01	$1,356.42	$1,872.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,301.98 / $2,259.96 / $11,307.92	Facility		$1,301.98	$2,259.96	$11,307.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,158.30 / $1,476.19 / $2,056.67	Professional		$1,158.30	$1,476.19	$2,056.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,132.69 / $1,132.69 / $1,132.69	Facility		$1,132.69	$1,132.69	$1,132.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,312.46 / $1,736.24 / $2,678.70	Professional		$1,312.46	$1,736.24	$2,678.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,242.04	Facility		$55.00	$55.00	$10,242.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,207.00 / $15,207.00 / $15,207.00	Professional		$15,207.00	$15,207.00	$15,207.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,269.06 / $1,685.27 / $2,868.93	Facility		$1,269.06	$1,685.27	$2,868.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,371.29 / $1,907.34 / $2,243.92	Professional		$1,371.29	$1,907.34	$2,243.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,870.10 / $1,870.10 / $1,870.10	Professional		$1,870.10	$1,870.10	$1,870.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,269.06 / $1,709.84 / $3,051.95	Facility		$1,269.06	$1,709.84	$3,051.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,312.46 / $1,770.81 / $2,911.34	Professional		$1,312.46	$1,770.81	$2,911.34
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 $1,082.58 / $1,492.27 / $2,306.23	Professional		$1,082.58	$1,492.27	$2,306.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,063.96 / $1,219.18 / $1,682.64	Professional		$1,063.96	$1,219.18	$1,682.64