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 $1,199.88 / $1,397.58 / $1,883.22	Professional		$1,199.88	$1,397.58	$1,883.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,173.89 / $1,229.95 / $1,418.50	Professional		$1,173.89	$1,229.95	$1,418.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,146.97 / $1,146.97 / $1,146.97	Facility		$1,146.97	$1,146.97	$1,146.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.49 / $1,758.24 / $2,716.53	Professional		$1,330.49	$1,758.24	$2,716.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,865.60	Facility		$55.00	$55.00	$11,865.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,480.56 / $9,692.64 / $10,804.88	Professional		$9,480.56	$9,692.64	$10,804.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,273.26 / $1,699.97 / $2,904.85	Facility		$1,273.26	$1,699.97	$2,904.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.16 / $1,933.58 / $2,274.80	Professional		$1,390.16	$1,933.58	$2,274.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,956.20 / $1,956.20 / $1,956.20	Professional		$1,956.20	$1,956.20	$1,956.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,273.26 / $1,699.97 / $3,295.10	Facility		$1,273.26	$1,699.97	$3,295.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,330.49 / $1,792.76 / $2,946.45	Professional		$1,330.49	$1,792.76	$2,946.45
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 $1,093.08 / $1,489.32 / $2,322.80	Professional		$1,093.08	$1,489.32	$2,322.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,078.59 / $1,236.44 / $1,705.66	Professional		$1,078.59	$1,236.44	$1,705.66