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 $1,709.33 / $1,990.65 / $2,381.08	Professional		$1,709.33	$1,990.65	$2,381.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,620.88 / $2,051.63 / $2,858.39	Professional		$1,620.88	$2,051.63	$2,858.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,651.22 / $1,651.22 / $1,651.22	Facility		$1,651.22	$1,651.22	$1,651.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,738.33 / $2,324.88 / $3,659.26	Professional		$1,738.33	$2,324.88	$3,659.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $31,695.04	Facility		$55.00	$55.00	$31,695.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,429.12 / $12,737.20 / $15,163.05	Professional		$12,429.12	$12,737.20	$15,163.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,777.16 / $2,179.42 / $3,966.07	Facility		$1,777.16	$2,179.42	$3,966.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,232.46 / $2,575.92 / $3,005.24	Professional		$2,232.46	$2,575.92	$3,005.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,524.60 / $1,889.47 / $1,927.95	Professional		$1,524.60	$1,889.47	$1,927.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,777.16 / $2,211.00 / $4,518.75	Facility		$1,777.16	$2,211.00	$4,518.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.83 / $2,391.98 / $3,942.81	Professional		$1,737.83	$2,391.98	$3,942.81
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 $1,495.26 / $1,962.53 / $3,082.19	Professional		$1,495.26	$1,962.53	$3,082.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,465.65 / $1,676.48 / $2,296.04	Professional		$1,465.65	$1,676.48	$2,296.04