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 $1,453.95 / $1,681.09 / $2,179.61	Professional		$1,453.95	$1,681.09	$2,179.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,366.32 / $1,729.43 / $2,380.64	Professional		$1,366.32	$1,729.43	$2,380.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,358.30 / $1,358.30 / $1,358.30	Facility		$1,358.30	$1,358.30	$1,358.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,558.60 / $2,084.37 / $3,222.61	Professional		$1,558.60	$2,084.37	$3,222.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $26,584.48	Facility		$55.00	$55.00	$26,584.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,429.12 / $10,700.08 / $12,782.10	Professional		$10,429.12	$10,700.08	$12,782.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,552.06 / $2,015.95 / $3,357.91	Facility		$1,552.06	$2,015.95	$3,357.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,878.81 / $2,167.86 / $2,529.17	Professional		$1,878.81	$2,167.86	$2,529.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,058.10 / $2,058.10 / $2,058.10	Professional		$2,058.10	$2,058.10	$2,058.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,552.06 / $2,050.12 / $3,809.11	Facility		$1,552.06	$2,050.12	$3,809.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,558.04 / $2,102.75 / $3,648.44	Professional		$1,558.04	$2,102.75	$3,648.44
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 $1,291.61 / $1,707.30 / $2,721.93	Professional		$1,291.61	$1,707.30	$2,721.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,233.47 / $1,416.90 / $1,927.79	Professional		$1,233.47	$1,416.90	$1,927.79