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 $1,682.63 / $1,942.62 / $2,327.21	Professional		$1,682.63	$1,942.62	$2,327.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,581.48 / $2,001.77 / $2,788.91	Professional		$1,581.48	$2,001.77	$2,788.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,572.69 / $1,572.69 / $1,572.69	Facility		$1,572.69	$1,572.69	$1,572.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,803.92 / $2,386.50 / $3,728.43	Professional		$1,803.92	$2,386.50	$3,728.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $30,755.52	Facility		$55.00	$55.00	$30,755.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,065.68 / $12,378.16 / $14,791.80	Professional		$12,065.68	$12,378.16	$14,791.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,795.52 / $2,332.42 / $3,889.67	Facility		$1,795.52	$2,332.42	$3,889.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,174.00 / $2,508.46 / $2,926.54	Professional		$2,174.00	$2,508.46	$2,926.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,974.20 / $2,074.75 / $2,589.90	Professional		$1,974.20	$2,074.75	$2,589.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,795.52 / $2,355.98 / $4,408.92	Facility		$1,795.52	$2,355.98	$4,408.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,803.73 / $2,425.44 / $4,223.70	Professional		$1,803.73	$2,425.44	$4,223.70
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 $1,494.35 / $1,940.56 / $3,128.48	Professional		$1,494.35	$1,940.56	$3,128.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,427.27 / $1,639.93 / $2,230.36	Professional		$1,427.27	$1,639.93	$2,230.36