Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,570.00 / $10,836.00	Facility		$969.00	$3,570.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,784.30 / $2,100.33 / $2,509.08	Professional		$1,784.30	$2,100.33	$2,509.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,708.91 / $2,163.06 / $3,013.63	Professional		$1,708.91	$2,163.06	$3,013.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,729.58 / $1,729.58 / $1,729.58	Facility		$1,729.58	$1,729.58	$1,729.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,934.89 / $2,602.21 / $3,959.96	Professional		$1,934.89	$2,602.21	$3,959.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $54,180.88	Facility		$55.00	$55.00	$54,180.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,568.00 / $25,568.00 / $25,568.00	Professional		$25,568.00	$25,568.00	$25,568.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,934.89 / $2,508.21 / $5,363.09	Facility		$1,934.89	$2,508.21	$5,363.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,349.78 / $2,711.28 / $3,163.16	Professional		$2,349.78	$2,711.28	$3,163.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,145.60 / $3,145.60 / $3,145.60	Professional		$3,145.60	$3,145.60	$3,145.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,934.89 / $2,522.15 / $5,363.09	Facility		$1,934.89	$2,522.15	$5,363.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,934.89 / $2,625.42 / $4,047.96	Professional		$1,934.89	$2,625.42	$4,047.96
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 $1,589.61 / $2,084.89 / $3,330.08	Professional		$1,589.61	$2,084.89	$3,330.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,542.66 / $1,765.92 / $2,415.73	Professional		$1,542.66	$1,765.92	$2,415.73