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 $1,401.91 / $1,599.22 / $2,472.25	Professional		$1,401.91	$1,599.22	$2,472.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,705.28 / $3,019.49 / $15,108.32	Facility		$1,705.28	$3,019.49	$15,108.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,579.25 / $2,012.67 / $3,018.70	Professional		$1,579.25	$2,012.67	$3,018.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,625.00 / $1,625.00 / $1,625.00	Facility		$1,625.00	$1,625.00	$1,625.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,792.54 / $2,326.39 / $3,443.12	Professional		$1,792.54	$2,326.39	$3,443.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $23,151.60	Facility		$55.00	$55.00	$23,151.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,521.57 / $14,521.57 / $15,405.68	Professional		$14,521.57	$14,521.57	$15,405.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,569.54 / $2,084.73 / $3,833.13	Facility		$1,569.54	$2,084.73	$3,833.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,863.74 / $2,592.29 / $3,049.76	Professional		$1,863.74	$2,592.29	$3,049.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,042.80 / $2,042.80 / $2,042.80	Professional		$2,042.80	$2,042.80	$2,042.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,569.54 / $2,084.73 / $3,923.53	Facility		$1,569.54	$2,084.73	$3,923.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,812.06 / $2,370.16 / $3,527.26	Professional		$1,812.06	$2,370.16	$3,527.26
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 $1,371.17 / $1,867.04 / $2,958.10	Professional		$1,371.17	$1,867.04	$2,958.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,446.04 / $1,640.45 / $2,251.21	Professional		$1,446.04	$1,640.45	$2,251.21