Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,570.00 / $12,941.00	Facility		$969.00	$3,570.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,182.28 / $1,401.94 / $2,145.54	Professional		$1,182.28	$1,401.94	$2,145.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.06 / $2,258.67 / $2,879.11	Professional		$1,348.06	$2,258.67	$2,879.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,382.31 / $1,382.31 / $1,382.31	Facility		$1,382.31	$1,382.31	$1,382.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,504.87 / $1,994.15 / $2,902.56	Professional		$1,504.87	$1,994.15	$2,902.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,549.56	Facility		$55.00	$55.00	$19,549.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,108.37 / $10,240.71 / $12,996.00	Professional		$10,108.37	$10,240.71	$12,996.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,366.19 / $1,781.53 / $3,242.54	Facility		$1,366.19	$1,781.53	$3,242.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,573.04 / $2,187.96 / $2,574.07	Professional		$1,573.04	$2,187.96	$2,574.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,812.00 / $1,812.00 / $1,812.00	Professional		$1,812.00	$1,812.00	$1,812.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,366.19 / $1,781.53 / $3,319.02	Facility		$1,366.19	$1,781.53	$3,319.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,515.18 / $2,005.44 / $2,953.72	Professional		$1,515.18	$2,005.44	$2,953.72
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 $1,163.82 / $1,605.98 / $2,551.65	Professional		$1,163.82	$1,605.98	$2,551.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,220.50 / $1,384.22 / $1,900.64	Professional		$1,220.50	$1,384.22	$1,900.64