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 $1,841.01 / $2,147.10 / $2,582.98	Professional		$1,841.01	$2,147.10	$2,582.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,747.38 / $2,211.76 / $3,081.48	Professional		$1,747.38	$2,211.76	$3,081.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,748.38 / $1,748.38 / $1,748.38	Facility		$1,748.38	$1,748.38	$1,748.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.79 / $2,494.02 / $3,466.49	Professional		$1,961.79	$2,494.02	$3,466.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $33,962.72	Facility		$55.00	$55.00	$33,962.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,359.36 / $13,692.16 / $16,198.28	Professional		$13,359.36	$13,692.16	$16,198.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,825.83 / $2,278.35 / $4,367.18	Facility		$1,825.83	$2,278.35	$4,367.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,392.67 / $2,760.78 / $3,220.91	Professional		$2,392.67	$2,760.78	$3,220.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,739.70 / $1,900.51 / $3,158.83	Professional		$1,739.70	$1,900.51	$3,158.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,825.83 / $2,332.14 / $4,470.18	Facility		$1,825.83	$2,332.14	$4,470.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,961.79 / $2,637.26 / $3,948.22	Professional		$1,961.79	$2,637.26	$3,948.22
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 $1,637.60 / $2,257.86 / $3,694.67	Professional		$1,637.60	$2,257.86	$3,694.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,570.83 / $1,803.56 / $2,459.48	Professional		$1,570.83	$1,803.56	$2,459.48