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 $1,550.92 / $1,791.46 / $2,144.53	Professional		$1,550.92	$1,791.46	$2,144.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,456.51 / $1,844.06 / $2,568.53	Professional		$1,456.51	$1,844.06	$2,568.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,449.23 / $1,449.23 / $1,449.23	Facility		$1,449.23	$1,449.23	$1,449.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,663.02 / $2,242.14 / $3,674.48	Professional		$1,663.02	$2,242.14	$3,674.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $28,357.28	Facility		$55.00	$55.00	$28,357.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,122.88 / $11,406.40 / $13,641.60	Professional		$11,122.88	$11,406.40	$13,641.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,655.56 / $2,161.92 / $3,582.52	Facility		$1,655.56	$2,161.92	$3,582.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,004.55 / $2,312.94 / $2,698.43	Professional		$2,004.55	$2,312.94	$2,698.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,190.90 / $2,190.90 / $2,190.90	Professional		$2,190.90	$2,190.90	$2,190.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,655.56 / $2,199.02 / $4,060.53	Facility		$1,655.56	$2,199.02	$4,060.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,663.02 / $2,298.78 / $3,976.39	Professional		$1,663.02	$2,298.78	$3,976.39
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 $1,388.31 / $1,873.38 / $2,951.39	Professional		$1,388.31	$1,873.38	$2,951.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,316.02 / $1,511.86 / $2,056.51	Professional		$1,316.02	$1,511.86	$2,056.51