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 $1,849.83 / $2,120.41 / $2,766.44	Professional		$1,849.83	$2,120.41	$2,766.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,726.14 / $2,184.88 / $3,044.02	Professional		$1,726.14	$2,184.88	$3,044.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,745.37 / $1,745.37 / $1,745.37	Facility		$1,745.37	$1,745.37	$1,745.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,956.18 / $2,549.75 / $3,987.86	Professional		$1,956.18	$2,549.75	$3,987.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $54,730.00	Facility		$55.00	$55.00	$54,730.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,602.00 / $19,602.00 / $19,602.00	Professional		$19,602.00	$19,602.00	$19,602.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,956.18 / $2,374.28 / $4,487.22	Facility		$1,956.18	$2,374.28	$4,487.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,374.16 / $2,739.42 / $3,195.99	Professional		$2,374.16	$2,739.42	$3,195.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,141.90 / $3,141.90 / $3,141.90	Professional		$3,141.90	$3,141.90	$3,141.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,956.18 / $2,413.54 / $4,811.37	Facility		$1,956.18	$2,413.54	$4,811.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,956.18 / $2,623.83 / $4,517.78	Professional		$1,956.18	$2,623.83	$4,517.78
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 $1,594.05 / $2,104.71 / $3,270.35	Professional		$1,594.05	$2,104.71	$3,270.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,558.68 / $1,784.80 / $2,440.41	Professional		$1,558.68	$1,784.80	$2,440.41