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 $1,790.24 / $2,159.71 / $2,825.40	Professional		$1,790.24	$2,159.71	$2,825.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.22 / $3,228.40 / $8,317.00	Facility		$1,949.22	$3,228.40	$8,317.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,794.17 / $2,270.98 / $2,587.48	Professional		$1,794.17	$2,270.98	$2,587.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,684.10 / $1,684.10 / $1,684.10	Facility		$1,684.10	$1,684.10	$1,684.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,945.57 / $2,580.59 / $4,011.84	Professional		$1,945.57	$2,580.59	$4,011.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $15,443.40	Facility		$55.00	$55.00	$15,443.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,977.28 / $14,379.20 / $16,259.93	Professional		$13,977.28	$14,379.20	$16,259.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,855.09 / $2,331.27 / $4,309.89	Facility		$1,855.09	$2,331.27	$4,309.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,069.40 / $2,878.34 / $3,386.29	Professional		$2,069.40	$2,878.34	$3,386.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,188.30 / $2,188.30 / $2,188.30	Professional		$2,188.30	$2,188.30	$2,188.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,848.94 / $2,369.69 / $4,646.46	Facility		$1,848.94	$2,369.69	$4,646.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,968.67 / $2,609.78 / $4,100.42	Professional		$1,968.67	$2,609.78	$4,100.42
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 $1,577.45 / $2,216.76 / $3,425.91	Professional		$1,577.45	$2,216.76	$3,425.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,605.61 / $1,822.84 / $2,540.69	Professional		$1,605.61	$1,822.84	$2,540.69