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 $1,362.03 / $1,557.29 / $1,865.42	Professional		$1,362.03	$1,557.29	$1,865.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,268.44 / $1,605.54 / $2,236.88	Professional		$1,268.44	$1,605.54	$2,236.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,436.09 / $1,914.74 / $3,034.00	Professional		$1,436.09	$1,914.74	$3,034.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $24,834.08	Facility		$55.00	$55.00	$24,834.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,767.00 / $16,901.89 / $16,901.89	Professional		$15,767.00	$16,901.89	$16,901.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.22 / $1,805.43 / $3,865.99	Facility		$1,412.22	$1,805.43	$3,865.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,748.46 / $2,017.46 / $2,353.69	Professional		$1,748.46	$2,017.46	$2,353.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,294.15 / $1,436.09 / $2,331.53	Professional		$1,294.15	$1,436.09	$2,331.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.22 / $1,866.92 / $3,865.99	Facility		$1,412.22	$1,866.92	$3,865.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,436.09 / $1,929.43 / $3,260.42	Professional		$1,436.09	$1,929.43	$3,260.42
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 $1,168.44 / $1,533.58 / $2,482.94	Professional		$1,168.44	$1,533.58	$2,482.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,147.89 / $1,312.30 / $1,798.79	Professional		$1,147.89	$1,312.30	$1,798.79