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 $1,934.71 / $2,276.84 / $2,720.53	Professional		$1,934.71	$2,276.84	$2,720.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,853.88 / $2,346.56 / $3,269.28	Professional		$1,853.88	$2,346.56	$3,269.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,870.90 / $1,870.90 / $1,870.90	Facility		$1,870.90	$1,870.90	$1,870.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,100.59 / $2,789.67 / $4,343.71	Professional		$2,100.59	$2,789.67	$4,343.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $58,745.96	Facility		$55.00	$55.00	$58,745.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,818.00 / $21,818.00 / $21,818.00	Professional		$21,818.00	$21,818.00	$21,818.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,100.59 / $2,640.59 / $4,930.20	Facility		$2,100.59	$2,640.59	$4,930.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,548.67 / $2,940.78 / $3,430.91	Professional		$2,548.67	$2,940.78	$3,430.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,553.70 / $3,553.70 / $3,553.70	Professional		$3,553.70	$3,553.70	$3,553.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,100.59 / $2,738.06 / $5,168.34	Facility		$2,100.59	$2,738.06	$5,168.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,100.59 / $2,837.56 / $4,732.05	Professional		$2,100.59	$2,837.56	$4,732.05
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 $1,725.48 / $2,260.25 / $3,584.50	Professional		$1,725.48	$2,260.25	$3,584.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,673.25 / $1,916.26 / $2,619.57	Professional		$1,673.25	$1,916.26	$2,619.57