Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,570.00 / $10,836.00	Facility		$945.00	$3,570.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,601.89 / $1,831.95 / $2,193.63	Professional		$1,601.89	$1,831.95	$2,193.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,492.52 / $1,889.17 / $2,632.04	Professional		$1,492.52	$1,889.17	$2,632.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,527.25 / $1,527.25 / $1,527.25	Facility		$1,527.25	$1,527.25	$1,527.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,689.51 / $2,230.51 / $3,565.63	Professional		$1,689.51	$2,230.51	$3,565.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $47,455.20	Facility		$55.00	$55.00	$47,455.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,773.00 / $19,773.00 / $19,773.00	Professional		$19,773.00	$19,773.00	$19,773.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,689.51 / $2,091.73 / $3,847.72	Facility		$1,689.51	$2,091.73	$3,847.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,056.26 / $2,372.61 / $2,768.05	Professional		$2,056.26	$2,372.61	$2,768.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,909.70 / $2,909.70 / $2,909.70	Professional		$2,909.70	$2,909.70	$2,909.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,689.51 / $2,172.37 / $4,160.93	Facility		$1,689.51	$2,172.37	$4,160.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,689.51 / $2,273.44 / $3,698.38	Professional		$1,689.51	$2,273.44	$3,698.38
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 $1,376.89 / $1,887.42 / $2,890.69	Professional		$1,376.89	$1,887.42	$2,890.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,349.97 / $1,543.76 / $2,115.29	Professional		$1,349.97	$1,543.76	$2,115.29