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 $1,336.83 / $1,522.36 / $1,829.03	Professional		$1,336.83	$1,522.36	$1,829.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,240.74 / $1,570.48 / $2,188.03	Professional		$1,240.74	$1,570.48	$2,188.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,275.65 / $1,275.65 / $1,275.65	Facility		$1,275.65	$1,275.65	$1,275.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,397.14 / $1,815.60 / $2,879.20	Professional		$1,397.14	$1,815.60	$2,879.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $24,246.08	Facility		$55.00	$55.00	$24,246.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,506.00 / $11,506.00 / $11,538.98	Professional		$11,506.00	$11,506.00	$11,538.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,357.26 / $1,694.77 / $3,069.10	Facility		$1,357.26	$1,694.77	$3,069.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,705.15 / $1,967.48 / $2,295.39	Professional		$1,705.15	$1,967.48	$2,295.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,869.50 / $1,869.50 / $1,869.50	Professional		$1,869.50	$1,869.50	$1,869.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,357.26 / $1,700.04 / $3,459.86	Facility		$1,357.26	$1,700.04	$3,459.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,355.69 / $1,888.77 / $3,055.34	Professional		$1,355.69	$1,888.77	$3,055.34
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 $1,111.46 / $1,486.74 / $2,405.76	Professional		$1,111.46	$1,486.74	$2,405.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,119.45 / $1,281.85 / $1,755.01	Professional		$1,119.45	$1,281.85	$1,755.01