Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,570.00 / $10,836.00	Facility		$969.00	$3,570.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,903.38 / $2,184.35 / $2,752.35	Professional		$1,903.38	$2,184.35	$2,752.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,776.93 / $2,249.16 / $3,133.58	Professional		$1,776.93	$2,249.16	$3,133.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,781.77 / $1,781.77 / $1,781.77	Facility		$1,781.77	$1,781.77	$1,781.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.16 / $2,628.25 / $4,171.00	Professional		$2,012.16	$2,628.25	$4,171.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $56,197.18	Facility		$55.00	$55.00	$56,197.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,012.00 / $23,012.00 / $23,012.00	Professional		$23,012.00	$23,012.00	$23,012.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,012.16 / $2,485.75 / $5,267.62	Facility		$2,012.16	$2,485.75	$5,267.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,438.92 / $2,814.15 / $3,283.18	Professional		$2,438.92	$2,814.15	$3,283.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,040.90 / $3,040.90 / $3,040.90	Professional		$3,040.90	$3,040.90	$3,040.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,012.16 / $2,616.42 / $5,400.00	Facility		$2,012.16	$2,616.42	$5,400.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,012.16 / $2,706.69 / $4,491.72	Professional		$2,012.16	$2,706.69	$4,491.72
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 $1,650.88 / $2,204.61 / $3,454.56	Professional		$1,650.88	$2,204.61	$3,454.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,601.20 / $1,834.90 / $2,506.11	Professional		$1,601.20	$1,834.90	$2,506.11