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 $1,587.75 / $1,911.89 / $2,484.08	Professional		$1,587.75	$1,911.89	$2,484.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,602.72 / $2,028.65 / $2,826.36	Professional		$1,602.72	$2,028.65	$2,826.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,623.77 / $1,623.77 / $1,623.77	Facility		$1,623.77	$1,623.77	$1,623.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.63 / $2,412.48 / $3,884.68	Professional		$1,807.63	$2,412.48	$3,884.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $31,276.00	Facility		$55.00	$55.00	$31,276.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,266.64 / $12,573.68 / $14,970.30	Professional		$12,266.64	$12,573.68	$14,970.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,656.05 / $2,144.06 / $3,934.74	Facility		$1,656.05	$2,144.06	$3,934.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,864.81 / $2,593.78 / $3,051.50	Professional		$1,864.81	$2,593.78	$3,051.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,616.31 / $1,814.16 / $2,931.02	Professional		$1,616.31	$1,814.16	$2,931.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,654.61 / $2,152.87 / $4,464.68	Facility		$1,654.61	$2,152.87	$4,464.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,821.66 / $2,447.44 / $4,010.67	Professional		$1,821.66	$2,447.44	$4,010.67
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 $1,482.27 / $2,075.17 / $3,180.22	Professional		$1,482.27	$2,075.17	$3,180.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,446.87 / $1,656.05 / $2,265.94	Professional		$1,446.87	$1,656.05	$2,265.94