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 $1,668.82 / $1,922.76 / $2,297.62	Professional		$1,668.82	$1,922.76	$2,297.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,324.89 / $2,227.81 / $3,482.08	Professional		$1,324.89	$2,227.81	$3,482.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,600.27 / $1,600.27 / $1,600.27	Facility		$1,600.27	$1,600.27	$1,600.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,757.81 / $2,276.04 / $3,619.98	Professional		$1,757.81	$2,276.04	$3,619.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $30,446.72	Facility		$55.00	$55.00	$30,446.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,971.52 / $12,257.84 / $14,486.55	Professional		$11,971.52	$12,257.84	$14,486.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,757.81 / $2,189.73 / $3,858.34	Facility		$1,757.81	$2,189.73	$3,858.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,141.19 / $2,470.62 / $2,882.39	Professional		$2,141.19	$2,470.62	$2,882.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,726.90 / $1,726.90 / $1,726.90	Professional		$1,726.90	$1,726.90	$1,726.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,757.81 / $2,240.84 / $4,343.70	Facility		$1,757.81	$2,240.84	$4,343.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,757.81 / $2,330.14 / $3,902.97	Professional		$1,757.81	$2,330.14	$3,902.97
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 $1,447.91 / $1,909.37 / $3,026.73	Professional		$1,447.91	$1,909.37	$3,026.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,405.73 / $1,610.06 / $2,203.77	Professional		$1,405.73	$1,610.06	$2,203.77