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 $1,596.40 / $1,853.87 / $2,220.41	Professional		$1,596.40	$1,853.87	$2,220.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,510.38 / $1,911.77 / $2,663.52	Professional		$1,510.38	$1,911.77	$2,663.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,545.24 / $1,545.24 / $1,545.24	Facility		$1,545.24	$1,545.24	$1,545.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,710.56 / $2,224.27 / $3,514.00	Professional		$1,710.56	$2,224.27	$3,514.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $48,032.66	Facility		$55.00	$55.00	$48,032.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,432.00 / $19,432.00 / $19,432.00	Professional		$19,432.00	$19,432.00	$19,432.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,692.79 / $2,111.21 / $4,392.00	Facility		$1,692.79	$2,111.21	$4,392.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,081.50 / $2,401.73 / $2,802.01	Professional		$2,081.50	$2,401.73	$2,802.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,726.30 / $2,726.30 / $2,726.30	Professional		$2,726.30	$2,726.30	$2,726.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,692.79 / $2,199.26 / $4,448.21	Facility		$1,692.79	$2,199.26	$4,448.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,710.56 / $2,300.34 / $3,667.30	Professional		$1,710.56	$2,300.34	$3,667.30
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 $1,363.89 / $1,754.63 / $2,810.49	Professional		$1,363.89	$1,754.63	$2,810.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,366.53 / $1,562.73 / $2,141.11	Professional		$1,366.53	$1,562.73	$2,141.11