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 $1,096.58 / $1,277.70 / $1,711.19	Professional		$1,096.58	$1,277.70	$1,711.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,240.40 / $14,240.40 / $14,240.40	Facility		$14,240.40	$14,240.40	$14,240.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,073.31 / $1,124.57 / $1,296.96	Professional		$1,073.31	$1,124.57	$1,296.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,051.28 / $1,051.28 / $1,051.28	Facility		$1,051.28	$1,051.28	$1,051.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,217.46 / $1,606.58 / $2,481.23	Professional		$1,217.46	$1,606.58	$2,481.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,498.16	Facility		$55.00	$55.00	$9,498.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,316.00 / $10,316.00 / $10,316.00	Professional		$10,316.00	$10,316.00	$10,316.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,165.47 / $1,538.31 / $2,638.95	Facility		$1,165.47	$1,538.31	$2,638.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,271.67 / $1,768.77 / $2,080.91	Professional		$1,271.67	$1,768.77	$2,080.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,774.20 / $1,774.20 / $1,774.20	Professional		$1,774.20	$1,774.20	$1,774.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,165.47 / $1,548.60 / $3,012.79	Facility		$1,165.47	$1,548.60	$3,012.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,217.46 / $1,635.24 / $2,697.64	Professional		$1,217.46	$1,635.24	$2,697.64
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 $994.92 / $1,368.02 / $2,114.21	Professional		$994.92	$1,368.02	$2,114.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $986.66 / $1,130.40 / $1,560.44	Professional		$986.66	$1,130.40	$1,560.44