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 $1,336.41 / $1,517.15 / $2,172.94	Professional		$1,336.41	$1,517.15	$2,172.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,488.21 / $2,643.94 / $17,019.40	Facility		$1,488.21	$2,643.94	$17,019.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,395.57 / $1,787.51 / $2,461.06	Professional		$1,395.57	$1,787.51	$2,461.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,398.96 / $1,398.96 / $1,398.96	Facility		$1,398.96	$1,398.96	$1,398.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,522.75 / $2,028.30 / $3,092.76	Professional		$1,522.75	$2,028.30	$3,092.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,880.56	Facility		$55.00	$55.00	$13,880.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,648.54 / $11,648.54 / $12,881.93	Professional		$11,648.54	$11,648.54	$12,881.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,461.86 / $1,916.27 / $3,356.38	Facility		$1,461.86	$1,916.27	$3,356.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,931.80 / $2,273.58 / $2,674.80	Professional		$1,931.80	$2,273.58	$2,674.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,067.80 / $2,067.80 / $2,067.80	Professional		$2,067.80	$2,067.80	$2,067.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,472.96 / $1,916.27 / $3,642.84	Facility		$1,472.96	$1,916.27	$3,642.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,527.14 / $2,084.25 / $3,336.10	Professional		$1,527.14	$2,084.25	$3,336.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $8,848.00 / $20,955.00	Facility		$4,600.00	$8,848.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,236.85 / $1,690.72 / $2,588.75	Professional		$1,236.85	$1,690.72	$2,588.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,268.26 / $1,446.82 / $2,000.90	Professional		$1,268.26	$1,446.82	$2,000.90