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 $1,864.98 / $2,166.79 / $2,822.92	Professional		$1,864.98	$2,166.79	$2,822.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,762.77 / $2,231.23 / $3,108.62	Professional		$1,762.77	$2,231.23	$3,108.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,771.90 / $1,771.90 / $1,771.90	Facility		$1,771.90	$1,771.90	$1,771.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,986.78 / $2,605.90 / $3,878.95	Professional		$1,986.78	$2,605.90	$3,878.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55,794.44	Facility		$55.00	$55.00	$55,794.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,750.00 / $19,208.08 / $19,208.08	Professional		$18,750.00	$19,208.08	$19,208.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,888.74 / $2,400.50 / $4,442.24	Facility		$1,888.74	$2,400.50	$4,442.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,421.26 / $2,793.77 / $3,259.39	Professional		$2,421.26	$2,793.77	$3,259.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,000.10 / $3,000.10 / $3,000.10	Professional		$3,000.10	$3,000.10	$3,000.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,888.74 / $2,466.00 / $4,860.93	Facility		$1,888.74	$2,466.00	$4,860.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,968.61 / $2,683.68 / $4,077.50	Professional		$1,968.61	$2,683.68	$4,077.50
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 $1,636.74 / $2,168.35 / $3,436.22	Professional		$1,636.74	$2,168.35	$3,436.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,589.60 / $1,821.24 / $2,488.12	Professional		$1,589.60	$1,821.24	$2,488.12