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 $1,504.51 / $1,720.96 / $2,060.58	Professional		$1,504.51	$1,720.96	$2,060.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,391.85 / $1,773.85 / $2,417.19	Professional		$1,391.85	$1,773.85	$2,417.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,432.06 / $1,432.06 / $1,432.06	Facility		$1,432.06	$1,432.06	$1,432.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,587.88 / $2,101.44 / $3,388.62	Professional		$1,587.88	$2,101.44	$3,388.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $44,572.58	Facility		$55.00	$55.00	$44,572.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,029.00 / $20,029.00 / $20,029.00	Professional		$20,029.00	$20,029.00	$20,029.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,587.88 / $1,997.84 / $4,270.39	Facility		$1,587.88	$1,997.84	$4,270.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,931.80 / $2,229.00 / $2,600.50	Professional		$1,931.80	$2,229.00	$2,600.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,824.50 / $2,824.50 / $2,824.50	Professional		$2,824.50	$2,824.50	$2,824.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,587.88 / $2,061.19 / $4,270.39	Facility		$1,587.88	$2,061.19	$4,270.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,587.88 / $2,134.50 / $3,450.80	Professional		$1,587.88	$2,134.50	$3,450.80
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 $1,292.58 / $1,686.46 / $2,704.24	Professional		$1,292.58	$1,686.46	$2,704.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,268.26 / $1,450.39 / $1,986.98	Professional		$1,268.26	$1,450.39	$1,986.98