Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,186.00 / $10,893.00	Facility		$872.00	$3,186.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,512.54 / $1,731.01 / $2,471.27	Professional		$1,512.54	$1,731.01	$2,471.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,711.80 / $3,068.24 / $15,352.23	Facility		$1,711.80	$3,068.24	$15,352.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,655.95 / $2,172.42 / $2,682.71	Professional		$1,655.95	$2,172.42	$2,682.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,586.96 / $1,586.96 / $1,586.96	Facility		$1,586.96	$1,586.96	$1,586.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,734.46 / $2,293.98 / $3,506.39	Professional		$1,734.46	$2,293.98	$3,506.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $15,801.68	Facility		$55.00	$55.00	$15,801.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,514.24 / $12,860.16 / $14,662.88	Professional		$12,514.24	$12,860.16	$14,662.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,617.05 / $2,157.16 / $3,908.01	Facility		$1,617.05	$2,157.16	$3,908.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,199.23 / $2,588.33 / $3,045.10	Professional		$2,199.23	$2,588.33	$3,045.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,170.60 / $2,170.60 / $2,170.60	Professional		$2,170.60	$2,170.60	$2,170.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,617.05 / $2,167.09 / $4,000.18	Facility		$1,617.05	$2,167.09	$4,000.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,734.46 / $2,378.94 / $3,618.32	Professional		$1,734.46	$2,378.94	$3,618.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.47 / $1,869.69 / $2,972.28	Professional		$1,360.47	$1,869.69	$2,972.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,443.83 / $1,647.51 / $2,277.80	Professional		$1,443.83	$1,647.51	$2,277.80