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 $1,472.50 / $1,748.82 / $2,088.26	Professional		$1,472.50	$1,748.82	$2,088.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,425.73 / $1,804.63 / $2,514.25	Professional		$1,425.73	$1,804.63	$2,514.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,460.12 / $1,460.12 / $1,460.12	Facility		$1,460.12	$1,460.12	$1,460.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,614.72 / $2,133.36 / $3,366.00	Professional		$1,614.72	$2,133.36	$3,366.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $36,635.55	Facility		$55.00	$55.00	$36,635.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,455.00 / $21,927.30 / $21,927.30	Professional		$20,455.00	$21,927.30	$21,927.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,614.72 / $2,065.57 / $4,320.00	Facility		$1,614.72	$2,065.57	$4,320.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,965.44 / $2,267.82 / $2,645.79	Professional		$1,965.44	$2,267.82	$2,645.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,832.10 / $2,832.10 / $2,832.10	Professional		$2,832.10	$2,832.10	$2,832.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,614.72 / $2,098.86 / $4,341.53	Facility		$1,614.72	$2,098.86	$4,341.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,614.72 / $2,168.92 / $3,523.59	Professional		$1,614.72	$2,168.92	$3,523.59
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 $1,313.38 / $1,726.31 / $2,790.99	Professional		$1,313.38	$1,726.31	$2,790.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,290.33 / $1,475.32 / $2,021.87	Professional		$1,290.33	$1,475.32	$2,021.87