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 $1,484.85 / $1,797.14 / $2,465.54	Professional		$1,484.85	$1,797.14	$2,465.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,490.37 / $1,886.44 / $2,628.24	Professional		$1,490.37	$1,886.44	$2,628.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,517.47 / $1,517.47 / $1,517.47	Facility		$1,517.47	$1,517.47	$1,517.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,687.38 / $2,203.77 / $3,406.46	Professional		$1,687.38	$2,203.77	$3,406.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $20,023.84	Facility		$55.00	$55.00	$20,023.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,422.40 / $11,708.72 / $13,934.48	Professional		$11,422.40	$11,708.72	$13,934.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,576.61 / $2,098.77 / $3,651.30	Facility		$1,576.61	$2,098.77	$3,651.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,736.01 / $2,414.63 / $2,840.74	Professional		$1,736.01	$2,414.63	$2,840.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,539.40 / $2,539.40 / $2,539.40	Professional		$2,539.40	$2,539.40	$2,539.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,566.84 / $2,161.34 / $4,110.89	Facility		$1,566.84	$2,161.34	$4,110.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,695.06 / $2,260.58 / $3,662.70	Professional		$1,695.06	$2,260.58	$3,662.70
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 $1,360.59 / $1,840.43 / $2,924.05	Professional		$1,360.59	$1,840.43	$2,924.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,346.94 / $1,540.96 / $2,109.94	Professional		$1,346.94	$1,540.96	$2,109.94