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 $1,496.57 / $1,719.47 / $2,059.19	Professional		$1,496.57	$1,719.47	$2,059.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,400.80 / $1,773.07 / $2,470.28	Professional		$1,400.80	$1,773.07	$2,470.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,431.07 / $1,431.07 / $1,431.07	Facility		$1,431.07	$1,431.07	$1,431.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,586.90 / $2,117.00 / $3,411.24	Professional		$1,586.90	$2,117.00	$3,411.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $44,542.68	Facility		$55.00	$55.00	$44,542.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,046.00 / $17,046.00 / $17,046.00	Professional		$17,046.00	$17,046.00	$17,046.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,586.90 / $2,024.10 / $3,901.94	Facility		$1,586.90	$2,024.10	$3,901.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,930.54 / $2,227.55 / $2,598.80	Professional		$1,930.54	$2,227.55	$2,598.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,889.00 / $2,889.00 / $2,889.00	Professional		$2,889.00	$2,889.00	$2,889.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,586.90 / $2,062.96 / $3,960.00	Facility		$1,586.90	$2,062.96	$3,960.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,586.90 / $2,133.14 / $3,454.98	Professional		$1,586.90	$2,133.14	$3,454.98
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,547.00 / $9,000.00	Facility		$495.00	$2,547.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,291.72 / $1,701.53 / $2,744.91	Professional		$1,291.72	$1,701.53	$2,744.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,267.43 / $1,449.44 / $1,985.66	Professional		$1,267.43	$1,449.44	$1,985.66