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 $1,808.64 / $2,088.19 / $2,502.12	Professional		$1,808.64	$2,088.19	$2,502.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,699.67 / $2,151.37 / $2,997.34	Professional		$1,699.67	$2,151.37	$2,997.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,689.95 / $1,689.95 / $1,689.95	Facility		$1,689.95	$1,689.95	$1,689.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,940.10 / $2,575.53 / $3,945.55	Professional		$1,940.10	$2,575.53	$3,945.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $33,064.00	Facility		$55.00	$55.00	$33,064.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,970.08 / $13,305.12 / $15,908.03	Professional		$12,970.08	$13,305.12	$15,908.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,930.29 / $2,507.48 / $4,183.06	Facility		$1,930.29	$2,507.48	$4,183.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,337.58 / $2,697.21 / $3,146.75	Professional		$2,337.58	$2,697.21	$3,146.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,120.75 / $2,230.42 / $2,799.00	Professional		$2,120.75	$2,230.42	$2,799.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,930.29 / $2,532.80 / $4,738.43	Facility		$1,930.29	$2,532.80	$4,738.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,940.10 / $2,607.07 / $4,541.54	Professional		$1,940.10	$2,607.07	$4,541.54
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 $1,590.26 / $2,087.21 / $3,343.84	Professional		$1,590.26	$2,087.21	$3,343.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,534.66 / $1,763.48 / $2,397.92	Professional		$1,534.66	$1,763.48	$2,397.92