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 / $10,893.00	Facility		$969.00	$3,596.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,248.70 / $1,422.13 / $2,028.24	Professional		$1,248.70	$1,422.13	$2,028.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $2,443.92 / $9,704.00	Facility		$1,403.00	$2,443.92	$9,704.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,308.15 / $1,662.18 / $2,341.23	Professional		$1,308.15	$1,662.18	$2,341.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,298.11 / $1,298.11 / $1,298.11	Facility		$1,298.11	$1,298.11	$1,298.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,424.39 / $1,871.48 / $2,876.02	Professional		$1,424.39	$1,871.48	$2,876.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,347.56	Facility		$55.00	$55.00	$11,347.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,272.24 / $10,561.60 / $12,030.30	Professional		$10,272.24	$10,561.60	$12,030.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,369.85 / $1,781.05 / $3,198.23	Facility		$1,369.85	$1,781.05	$3,198.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,527.14 / $2,124.11 / $2,498.96	Professional		$1,527.14	$2,124.11	$2,498.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,550.00 / $1,615.20 / $1,742.26	Professional		$1,550.00	$1,615.20	$1,742.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,369.85 / $1,781.26 / $3,273.66	Facility		$1,369.85	$1,781.26	$3,273.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,424.39 / $1,928.60 / $3,039.60	Professional		$1,424.39	$1,928.60	$3,039.60
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 $1,130.75 / $1,528.63 / $2,482.94	Professional		$1,130.75	$1,528.63	$2,482.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,184.88 / $1,352.16 / $1,869.35	Professional		$1,184.88	$1,352.16	$1,869.35