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 $1,825.79 / $2,092.81 / $2,730.14	Professional		$1,825.79	$2,092.81	$2,730.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,704.29 / $2,157.21 / $3,005.48	Professional		$1,704.29	$2,157.21	$3,005.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,722.49 / $1,722.49 / $1,722.49	Facility		$1,722.49	$1,722.49	$1,722.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,930.30 / $2,515.64 / $3,935.51	Professional		$1,930.30	$2,515.64	$3,935.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $54,016.56	Facility		$55.00	$55.00	$54,016.56
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 $1,929.09 / $2,382.10 / $4,487.22	Facility		$1,929.09	$2,382.10	$4,487.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,343.06 / $2,703.53 / $3,154.11	Professional		$2,343.06	$2,703.53	$3,154.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,714.54 / $1,872.92 / $3,115.73	Professional		$1,714.54	$1,872.92	$3,115.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,929.09 / $2,384.53 / $4,749.58	Facility		$1,929.09	$2,384.53	$4,749.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,930.30 / $2,589.77 / $4,451.22	Professional		$1,930.30	$2,589.77	$4,451.22
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 $1,575.26 / $2,074.41 / $3,263.92	Professional		$1,575.26	$2,074.41	$3,263.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,538.25 / $1,761.38 / $2,408.52	Professional		$1,538.25	$1,761.38	$2,408.52