Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,604.34 / $10,836.00	Facility		$969.00	$3,604.34	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,101.73 / $2,577.60 / $3,385.90	Professional		$2,101.73	$2,577.60	$3,385.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,114.28 / $2,676.16 / $3,728.49	Professional		$2,114.28	$2,676.16	$3,728.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,130.05 / $2,130.05 / $2,130.05	Facility		$2,130.05	$2,130.05	$2,130.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,268.08 / $3,088.36 / $4,842.72	Professional		$2,268.08	$3,088.36	$4,842.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $48,934.50	Facility		$55.00	$55.00	$48,934.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,162.16 / $16,579.20 / $19,740.98	Professional		$16,162.16	$16,579.20	$19,740.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,079.50 / $2,730.51 / $5,205.32	Facility		$2,079.50	$2,730.51	$5,205.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,458.30 / $3,419.27 / $4,022.68	Professional		$2,458.30	$3,419.27	$4,022.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,120.10 / $2,379.82 / $3,864.56	Professional		$2,120.10	$2,379.82	$3,864.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,079.50 / $2,736.53 / $5,851.32	Facility		$2,079.50	$2,736.53	$5,851.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,302.26 / $3,175.85 / $5,226.47	Professional		$2,302.26	$3,175.85	$5,226.47
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 $1,930.25 / $2,700.87 / $4,278.83	Professional		$1,930.25	$2,700.87	$4,278.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,907.35 / $2,184.44 / $2,986.01	Professional		$1,907.35	$2,184.44	$2,986.01