Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,570.00 / $10,836.00	Facility		$969.00	$3,570.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,616.64 / $1,849.30 / $2,209.23	Professional		$1,616.64	$1,849.30	$2,209.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.83 / $1,899.69 / $2,646.69	Professional		$1,500.83	$1,899.69	$2,646.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,553.31 / $1,553.31 / $1,553.31	Facility		$1,553.31	$1,553.31	$1,553.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,693.83 / $2,233.76 / $3,504.90	Professional		$1,693.83	$2,233.76	$3,504.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $38,573.64	Facility		$55.00	$55.00	$38,573.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,750.00 / $18,750.00 / $18,750.00	Professional		$18,750.00	$18,750.00	$18,750.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,693.83 / $2,106.71 / $3,960.00	Facility		$1,693.83	$2,106.71	$3,960.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,065.92 / $2,383.77 / $2,781.07	Professional		$2,065.92	$2,383.77	$2,781.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,545.90 / $1,693.83 / $2,752.72	Professional		$1,545.90	$1,693.83	$2,752.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,693.83 / $2,201.98 / $4,292.13	Facility		$1,693.83	$2,201.98	$4,292.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,693.83 / $2,297.56 / $3,785.81	Professional		$1,693.83	$2,297.56	$3,785.81
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 $1,390.75 / $1,849.86 / $2,955.35	Professional		$1,390.75	$1,849.86	$2,955.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,356.32 / $1,552.25 / $2,127.01	Professional		$1,356.32	$1,552.25	$2,127.01