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 / $10,836.00	Facility		$969.00	$3,570.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,281.90 / $1,501.92 / $2,325.82	Professional		$1,281.90	$1,501.92	$2,325.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,573.45 / $2,771.78 / $13,786.31	Facility		$1,573.45	$2,771.78	$13,786.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,243.15 / $2,019.58 / $3,156.62	Professional		$1,243.15	$2,019.58	$3,156.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,482.95 / $1,482.95 / $1,482.95	Facility		$1,482.95	$1,482.95	$1,482.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,645.00 / $2,174.02 / $3,165.57	Professional		$1,645.00	$2,174.02	$3,165.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $21,165.00	Facility		$55.00	$55.00	$21,165.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,934.64 / $11,091.60 / $14,091.75	Professional		$10,934.64	$11,091.60	$14,091.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,490.18 / $1,959.00 / $3,517.59	Facility		$1,490.18	$1,959.00	$3,517.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,704.34 / $2,370.58 / $2,788.92	Professional		$1,704.34	$2,370.58	$2,788.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,697.27 / $1,725.61 / $1,889.30	Professional		$1,697.27	$1,725.61	$1,889.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,490.18 / $1,982.05 / $3,600.55	Facility		$1,490.18	$1,982.05	$3,600.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,645.36 / $2,175.76 / $3,239.37	Professional		$1,645.36	$2,175.76	$3,239.37
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 $1,244.43 / $1,710.92 / $2,770.07	Professional		$1,244.43	$1,710.92	$2,770.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,322.37 / $1,500.53 / $2,058.28	Professional		$1,322.37	$1,500.53	$2,058.28