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 $1,627.08 / $1,908.94 / $2,294.44	Professional		$1,627.08	$1,908.94	$2,294.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,563.62 / $1,979.17 / $2,757.42	Professional		$1,563.62	$1,979.17	$2,757.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,583.47 / $1,583.47 / $1,583.47	Facility		$1,583.47	$1,583.47	$1,583.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,771.22 / $2,304.36 / $3,557.29	Professional		$1,771.22	$2,304.36	$3,557.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $40,056.24	Facility		$55.00	$55.00	$40,056.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,193.00 / $16,193.00 / $16,193.00	Professional		$16,193.00	$16,193.00	$16,193.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,689.42 / $2,129.32 / $3,841.55	Facility		$1,689.42	$2,129.32	$3,841.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,150.88 / $2,481.78 / $2,895.41	Professional		$2,150.88	$2,481.78	$2,895.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,659.90 / $2,659.90 / $2,659.90	Professional		$2,659.90	$2,659.90	$2,659.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,689.42 / $2,133.87 / $4,319.00	Facility		$1,689.42	$2,133.87	$4,319.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,771.22 / $2,373.60 / $3,605.64	Professional		$1,771.22	$2,373.60	$3,605.64
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 $1,427.76 / $1,825.85 / $3,028.54	Professional		$1,427.76	$1,825.85	$3,028.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.08 / $1,616.48 / $2,211.21	Professional		$1,412.08	$1,616.48	$2,211.21