Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.00 / $3,682.00 / $12,040.00	Facility		$993.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,110.30 / $1,245.26 / $1,801.01	Professional		$1,110.30	$1,245.26	$1,801.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.08 / $1,453.21 / $1,655.75	Professional		$1,148.08	$1,453.21	$1,655.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,061.88 / $1,061.88 / $1,061.88	Facility		$1,061.88	$1,061.88	$1,061.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.89 / $1,645.91 / $2,611.52	Professional		$1,254.89	$1,645.91	$2,611.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,283.70 / $14,283.70 / $14,283.70	Professional		$14,283.70	$14,283.70	$14,283.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,194.70 / $1,587.73 / $3,317.21	Facility		$1,194.70	$1,587.73	$3,317.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,557.97 / $1,833.61 / $2,157.19	Professional		$1,557.97	$1,833.61	$2,157.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,651.30 / $1,651.30 / $1,651.30	Professional		$1,651.30	$1,651.30	$1,651.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,195.61 / $1,654.04 / $3,317.21	Facility		$1,195.61	$1,654.04	$3,317.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,254.89 / $1,670.54 / $2,655.90	Professional		$1,254.89	$1,670.54	$2,655.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,018.02 / $1,399.77 / $2,168.13	Professional		$1,018.02	$1,399.77	$2,168.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,022.83 / $1,161.94 / $1,618.34	Professional		$1,022.83	$1,161.94	$1,618.34