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 $1,593.02 / $1,929.69 / $2,657.81	Professional		$1,593.02	$1,929.69	$2,657.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,386.06 / $2,653.33 / $3,212.03	Professional		$2,386.06	$2,653.33	$3,212.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,632.37 / $1,632.37 / $1,632.37	Facility		$1,632.37	$1,632.37	$1,632.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,775.57 / $2,361.40 / $3,610.28	Professional		$1,775.57	$2,361.40	$3,610.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $37,276.10	Facility		$55.00	$55.00	$37,276.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,310.16 / $12,619.68 / $15,021.45	Professional		$12,310.16	$12,619.68	$15,021.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,699.14 / $2,365.03 / $3,933.21	Facility		$1,699.14	$2,365.03	$3,933.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,871.21 / $2,602.67 / $3,061.98	Professional		$1,871.21	$2,602.67	$3,061.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,820.90 / $2,820.90 / $2,820.90	Professional		$2,820.90	$2,820.90	$2,820.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,688.51 / $2,394.67 / $4,434.85	Facility		$1,688.51	$2,394.67	$4,434.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,794.02 / $2,413.77 / $3,664.07	Professional		$1,794.02	$2,413.77	$3,664.07
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 $1,483.14 / $2,039.31 / $3,151.66	Professional		$1,483.14	$2,039.31	$3,151.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,451.84 / $1,661.13 / $2,274.10	Professional		$1,451.84	$1,661.13	$2,274.10