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 $1,905.40 / $2,184.27 / $2,609.80	Professional		$1,905.40	$2,184.27	$2,609.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.16 / $2,250.71 / $3,135.76	Professional		$1,778.16	$2,250.71	$3,135.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,796.50 / $1,796.50 / $1,796.50	Facility		$1,796.50	$1,796.50	$1,796.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,014.04 / $2,625.03 / $4,099.34	Professional		$2,014.04	$2,625.03	$4,099.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $56,350.58	Facility		$55.00	$55.00	$56,350.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,149.18 / $21,294.10 / $21,294.10	Professional		$18,149.18	$21,294.10	$21,294.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,929.61 / $2,419.56 / $4,539.41	Facility		$1,929.61	$2,419.56	$4,539.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,444.39 / $2,820.45 / $3,290.53	Professional		$2,444.39	$2,820.45	$3,290.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,787.90 / $1,953.18 / $3,207.40	Professional		$1,787.90	$1,953.18	$3,207.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,929.61 / $2,423.71 / $5,408.29	Facility		$1,929.61	$2,423.71	$5,408.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,014.04 / $2,721.89 / $4,454.41	Professional		$2,014.04	$2,721.89	$4,454.41
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 $1,648.58 / $2,169.05 / $3,449.68	Professional		$1,648.58	$2,169.05	$3,449.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,604.78 / $1,837.72 / $2,512.62	Professional		$1,604.78	$1,837.72	$2,512.62