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 / $12,040.00	Facility		$969.00	$3,596.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $990.55 / $1,126.15 / $1,829.23	Professional		$990.55	$1,126.15	$1,829.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,076.88 / $1,945.34 / $9,675.75	Facility		$1,076.88	$1,945.34	$9,675.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,117.61 / $1,414.64 / $1,970.91	Professional		$1,117.61	$1,414.64	$1,970.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,177.91 / $1,177.91 / $1,177.91	Facility		$1,177.91	$1,177.91	$1,177.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,119.77 / $1,509.91 / $2,197.84	Professional		$1,119.77	$1,509.91	$2,197.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,381.44	Facility		$55.00	$55.00	$16,381.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,833.41 / $8,973.83 / $10,833.23	Professional		$8,833.41	$8,973.83	$10,833.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,013.54 / $1,306.34 / $2,653.75	Facility		$1,013.54	$1,306.34	$2,653.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,314.72 / $1,828.66 / $2,151.36	Professional		$1,314.72	$1,828.66	$2,151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,293.00 / $1,293.00 / $1,293.00	Professional		$1,293.00	$1,293.00	$1,293.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,013.61 / $1,323.88 / $2,721.53	Facility		$1,013.61	$1,323.88	$2,721.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,119.77 / $1,532.55 / $2,424.61	Professional		$1,119.77	$1,532.55	$2,424.61
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 $849.41 / $1,229.03 / $2,076.04	Professional		$849.41	$1,229.03	$2,076.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,020.07 / $1,154.92 / $1,591.10	Professional		$1,020.07	$1,154.92	$1,591.10