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 $1,726.05 / $1,975.06 / $2,363.16	Professional		$1,726.05	$1,975.06	$2,363.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,608.87 / $2,036.44 / $2,837.22	Professional		$1,608.87	$2,036.44	$2,837.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,640.46 / $1,640.46 / $1,640.46	Facility		$1,640.46	$1,640.46	$1,640.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,821.79 / $2,385.23 / $3,946.00	Professional		$1,821.79	$2,385.23	$3,946.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $51,117.82	Facility		$55.00	$55.00	$51,117.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,047.18 / $15,690.14 / $15,690.14	Professional		$15,047.18	$15,690.14	$15,690.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,821.79 / $2,278.25 / $3,942.39	Facility		$1,821.79	$2,278.25	$3,942.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,215.64 / $2,556.51 / $2,982.60	Professional		$2,215.64	$2,556.51	$2,982.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,026.80 / $3,026.80 / $3,026.80	Professional		$3,026.80	$3,026.80	$3,026.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,821.79 / $2,321.90 / $4,485.29	Facility		$1,821.79	$2,321.90	$4,485.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,821.79 / $2,452.69 / $3,956.99	Professional		$1,821.79	$2,452.69	$3,956.99
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,547.00 / $9,000.00	Facility		$495.00	$2,547.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,485.45 / $1,949.65 / $3,118.13	Professional		$1,485.45	$1,949.65	$3,118.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,454.60 / $1,663.95 / $2,278.76	Professional		$1,454.60	$1,663.95	$2,278.76