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 $1,860.52 / $2,147.42 / $2,574.17	Professional		$1,860.52	$2,147.42	$2,574.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,748.92 / $2,213.71 / $3,084.19	Professional		$1,748.92	$2,213.71	$3,084.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,738.54 / $1,738.54 / $1,738.54	Facility		$1,738.54	$1,738.54	$1,738.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.31 / $2,631.37 / $4,249.60	Professional		$1,995.31	$2,631.37	$4,249.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $34,003.83	Facility		$55.00	$55.00	$34,003.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,339.36 / $13,687.76 / $16,359.30	Professional		$13,339.36	$13,687.76	$16,359.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,985.14 / $2,558.79 / $4,304.53	Facility		$1,985.14	$2,558.79	$4,304.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,404.03 / $2,773.88 / $3,236.19	Professional		$2,404.03	$2,773.88	$3,236.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,530.89 / $3,185.04 / $3,206.01	Professional		$2,530.89	$3,185.04	$3,206.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,985.14 / $2,602.16 / $4,872.29	Facility		$1,985.14	$2,602.16	$4,872.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,995.31 / $2,706.20 / $4,692.82	Professional		$1,995.31	$2,706.20	$4,692.82
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 $1,608.24 / $2,144.32 / $3,437.57	Professional		$1,608.24	$2,144.32	$3,437.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,578.28 / $1,813.69 / $2,466.07	Professional		$1,578.28	$1,813.69	$2,466.07