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 / $10,893.00	Facility		$969.00	$3,596.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,424.84 / $1,693.29 / $2,114.53	Professional		$1,424.84	$1,693.29	$2,114.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,370.76 / $1,741.59 / $2,380.56	Professional		$1,370.76	$1,741.59	$2,380.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,415.85 / $1,415.85 / $1,415.85	Facility		$1,415.85	$1,415.85	$1,415.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,563.21 / $2,031.75 / $3,218.00	Professional		$1,563.21	$2,031.75	$3,218.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $35,479.08	Facility		$55.00	$55.00	$35,479.08
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 $1,537.20 / $1,928.57 / $3,960.00	Facility		$1,537.20	$1,928.57	$3,960.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,903.20 / $2,196.00 / $2,562.00	Professional		$1,903.20	$2,196.00	$2,562.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,654.10 / $2,654.10 / $2,654.10	Professional		$2,654.10	$2,654.10	$2,654.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,537.20 / $1,947.45 / $4,020.09	Facility		$1,537.20	$1,947.45	$4,020.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,563.21 / $2,098.84 / $3,370.26	Professional		$1,563.21	$2,098.84	$3,370.26
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 $1,259.39 / $1,658.25 / $2,668.23	Professional		$1,259.39	$1,658.25	$2,668.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,249.48 / $1,428.44 / $1,957.99	Professional		$1,249.48	$1,428.44	$1,957.99