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 $1,579.50 / $1,807.43 / $2,161.31	Professional		$1,579.50	$1,807.43	$2,161.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,472.21 / $1,863.46 / $2,596.21	Professional		$1,472.21	$1,863.46	$2,596.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,499.48 / $1,499.48 / $1,499.48	Facility		$1,499.48	$1,499.48	$1,499.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,666.33 / $2,163.91 / $3,374.57	Professional		$1,666.33	$2,163.91	$3,374.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $37,760.94	Facility		$55.00	$55.00	$37,760.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,165.34 / $12,165.34 / $13,760.93	Professional		$12,165.34	$12,165.34	$13,760.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,641.00 / $2,049.59 / $3,606.99	Facility		$1,641.00	$2,049.59	$3,606.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,026.41 / $2,338.17 / $2,727.87	Professional		$2,026.41	$2,338.17	$2,727.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.04 / $1,666.33 / $2,693.92	Professional		$1,492.04	$1,666.33	$2,693.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,641.00 / $2,058.19 / $4,104.29	Facility		$1,641.00	$2,058.19	$4,104.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,666.33 / $2,229.13 / $3,651.50	Professional		$1,666.33	$2,229.13	$3,651.50
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 $1,358.99 / $1,783.68 / $2,853.12	Professional		$1,358.99	$1,783.68	$2,853.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,330.37 / $1,521.99 / $2,084.12	Professional		$1,330.37	$1,521.99	$2,084.12