Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,040.00	Facility		$921.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,142.35 / $3,797.28 / $5,071.81	Professional		$3,142.35	$3,797.28	$5,071.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,189.73 / $4,037.43 / $5,557.68	Professional		$3,189.73	$4,037.43	$5,557.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,259.12 / $3,259.12 / $3,259.12	Facility		$3,259.12	$3,259.12	$3,259.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,679.61 / $3,679.61 / $7,897.63	Professional		$3,679.61	$3,679.61	$7,897.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $81,740.82	Facility		$55.00	$55.00	$81,740.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $29,652.08 / $64,914.27 / $67,510.82	Professional		$29,652.08	$64,914.27	$67,510.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,296.32 / $4,125.89 / $7,932.91	Facility		$3,296.32	$4,125.89	$7,932.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,707.56 / $5,156.88 / $6,066.92	Professional		$3,707.56	$5,156.88	$6,066.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,944.00 / $3,944.00 / $3,944.00	Professional		$3,944.00	$3,944.00	$3,944.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,296.32 / $4,285.22 / $8,120.01	Facility		$3,296.32	$4,285.22	$8,120.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,296.32 / $5,810.86 / $10,033.00	Professional		$3,296.32	$5,810.86	$10,033.00
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,000.00 / $8,759.00	Facility		$385.00	$2,000.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,817.17 / $3,916.36 / $6,321.74	Professional		$2,817.17	$3,916.36	$6,321.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,876.63 / $3,296.32 / $4,508.38	Professional		$2,876.63	$3,296.32	$4,508.38