Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,792.00 / $10,836.00	Facility		$969.00	$3,792.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,600.02 / $5,436.38 / $6,536.69	Professional		$4,600.02	$5,436.38	$6,536.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,432.32 / $5,610.24 / $7,816.32	Professional		$4,432.32	$5,610.24	$7,816.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,512.95 / $4,512.95 / $4,512.95	Facility		$4,512.95	$4,512.95	$4,512.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,980.30 / $5,980.30 / $5,980.30	Professional		$5,980.30	$5,980.30	$5,980.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $113,484.63	Facility		$55.00	$55.00	$113,484.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $36,883.33 / $37,893.94 / $41,173.58	Professional		$36,883.33	$37,893.94	$41,173.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,213.59 / $5,468.27 / $10,994.38	Facility		$4,213.59	$5,468.27	$10,994.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,084.29 / $7,020.33 / $8,190.39	Professional		$6,084.29	$7,020.33	$8,190.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,939.40 / $5,939.40 / $5,939.40	Professional		$5,939.40	$5,939.40	$5,939.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,213.59 / $5,494.34 / $11,253.69	Facility		$4,213.59	$5,494.34	$11,253.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,578.62 / $8,259.77 / $14,830.97	Professional		$4,578.62	$8,259.77	$14,830.97
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 $3,889.52 / $5,115.51 / $8,351.86	Professional		$3,889.52	$5,115.51	$8,351.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,994.43 / $4,578.62 / $6,259.45	Professional		$3,994.43	$4,578.62	$6,259.45