Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,213.00 / $10,836.00	Facility		$872.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.39 / $1,079.86 / $1,683.53	Professional		$929.39	$1,079.86	$1,683.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,530.22 / $2,785.35 / $5,381.57	Facility		$1,530.22	$2,785.35	$5,381.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,090.43 / $1,090.43 / $1,090.43	Facility		$1,090.43	$1,090.43	$1,090.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.68 / $1,327.68 / $1,327.68	Facility		$1,327.68	$1,327.68	$1,327.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.17 / $1,547.10 / $2,283.34	Professional		$1,192.17	$1,547.10	$2,283.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,959.79 / $26,542.00 / $26,542.00	Facility		$8,959.79	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,693.06 / $8,693.06 / $10,196.85	Professional		$8,693.06	$8,693.06	$10,196.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,058.22 / $1,412.00 / $2,523.58	Facility		$1,058.22	$1,412.00	$2,523.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,459.58 / $1,717.81 / $2,020.95	Professional		$1,459.58	$1,717.81	$2,020.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.30 / $1,409.30 / $1,409.30	Professional		$1,409.30	$1,409.30	$1,409.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,058.22 / $1,437.62 / $2,637.98	Facility		$1,058.22	$1,437.62	$2,637.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,192.24 / $1,547.10 / $2,295.69	Professional		$1,192.24	$1,547.10	$2,295.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,390.00 / $4,063.00 / $8,226.00	Facility		$1,390.00	$4,063.00	$8,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $895.87 / $1,249.89 / $1,990.89	Professional		$895.87	$1,249.89	$1,990.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $958.23 / $1,086.15 / $1,492.91	Professional		$958.23	$1,086.15	$1,492.91