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 $1,724.08 / $1,972.49 / $2,361.37	Professional		$1,724.08	$1,972.49	$2,361.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,607.02 / $2,034.10 / $2,833.96	Professional		$1,607.02	$2,034.10	$2,833.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,640.30 / $1,640.30 / $1,640.30	Facility		$1,640.30	$1,640.30	$1,640.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,820.32 / $2,432.40 / $3,925.79	Professional		$1,820.32	$2,432.40	$3,925.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $51,077.78	Facility		$55.00	$55.00	$51,077.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,352.00 / $23,352.00 / $23,352.00	Professional		$23,352.00	$23,352.00	$23,352.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,820.32 / $2,300.41 / $4,544.29	Facility		$1,820.32	$2,300.41	$4,544.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,213.94 / $2,554.56 / $2,980.32	Professional		$2,213.94	$2,554.56	$2,980.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,347.50 / $3,347.50 / $3,347.50	Professional		$3,347.50	$3,347.50	$3,347.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,820.32 / $2,351.38 / $4,837.47	Facility		$1,820.32	$2,351.38	$4,837.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,820.32 / $2,465.62 / $3,950.53	Professional		$1,820.32	$2,465.62	$3,950.53
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 $1,482.85 / $1,928.46 / $3,102.55	Professional		$1,482.85	$1,928.46	$3,102.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,453.49 / $1,662.50 / $2,277.03	Professional		$1,453.49	$1,662.50	$2,277.03