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 $1,140.86 / $1,295.80 / $1,851.57	Professional		$1,140.86	$1,295.80	$1,851.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,283.58 / $2,198.48 / $7,901.00	Facility		$1,283.58	$2,198.48	$7,901.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,240.20 / $1,627.01 / $2,009.18	Professional		$1,240.20	$1,627.01	$2,009.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,199.25 / $1,199.25 / $1,199.25	Facility		$1,199.25	$1,199.25	$1,199.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,300.94 / $1,743.59 / $2,629.30	Professional		$1,300.94	$1,743.59	$2,629.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,853.44	Facility		$55.00	$55.00	$11,853.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,596.79 / $10,596.79 / $10,999.28	Professional		$10,596.79	$10,596.79	$10,999.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,234.38 / $1,584.56 / $2,916.29	Facility		$1,234.38	$1,584.56	$2,916.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,649.22 / $1,941.00 / $2,283.53	Professional		$1,649.22	$1,941.00	$2,283.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,744.80 / $1,744.80 / $1,744.80	Professional		$1,744.80	$1,744.80	$1,744.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,234.38 / $1,604.69 / $3,148.62	Facility		$1,234.38	$1,604.69	$3,148.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,300.94 / $1,777.61 / $2,866.29	Professional		$1,300.94	$1,777.61	$2,866.29
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,027.00 / $20,955.00	Facility		$4,600.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,031.71 / $1,444.39 / $2,262.67	Professional		$1,031.71	$1,444.39	$2,262.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,082.74 / $1,234.38 / $1,708.60	Professional		$1,082.74	$1,234.38	$1,708.60