Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,730.00 / $10,836.00	Facility		$969.00	$3,730.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,291.00 / $3,859.14 / $4,612.67	Professional		$3,291.00	$3,859.14	$4,612.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,141.10 / $3,975.87 / $5,539.27	Professional		$3,141.10	$3,975.87	$5,539.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,145.24 / $3,145.24 / $3,145.24	Facility		$3,145.24	$3,145.24	$3,145.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,538.22 / $4,675.35 / $7,262.68	Professional		$3,538.22	$4,675.35	$7,262.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $99,341.84	Facility		$55.00	$55.00	$99,341.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,980.48 / $24,605.76 / $29,306.18	Professional		$23,980.48	$24,605.76	$29,306.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,361.74 / $4,167.87 / $7,752.31	Facility		$3,361.74	$4,167.87	$7,752.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,244.81 / $3,244.81 / $3,244.81	Professional		$3,244.81	$3,244.81	$3,244.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,129.93 / $3,559.31 / $5,737.77	Professional		$3,129.93	$3,559.31	$5,737.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,361.74 / $4,212.55 / $7,950.29	Facility		$3,361.74	$4,212.55	$7,950.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,538.22 / $4,823.92 / $7,803.95	Professional		$3,538.22	$4,823.92	$7,803.95
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 $2,924.12 / $3,837.91 / $6,204.25	Professional		$2,924.12	$3,837.91	$6,204.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,831.07 / $3,244.81 / $4,430.47	Professional		$2,831.07	$3,244.81	$4,430.47