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 $1,439.69 / $1,662.49 / $1,990.01	Professional		$1,439.69	$1,662.49	$1,990.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,352.47 / $1,711.90 / $2,385.06	Professional		$1,352.47	$1,711.90	$2,385.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,345.44 / $1,345.44 / $1,345.44	Facility		$1,345.44	$1,345.44	$1,345.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,542.54 / $2,067.13 / $3,189.15	Professional		$1,542.54	$2,067.13	$3,189.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $18,089.93	Facility		$55.00	$55.00	$18,089.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,804.00 / $14,804.00 / $14,804.00	Professional		$14,804.00	$14,804.00	$14,804.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,536.17 / $2,004.37 / $3,610.20	Facility		$1,536.17	$2,004.37	$3,610.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,859.47 / $2,145.54 / $2,503.13	Professional		$1,859.47	$2,145.54	$2,503.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,705.91 / $1,945.58 / $2,475.13	Professional		$1,705.91	$1,945.58	$2,475.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,536.17 / $2,029.35 / $3,770.49	Facility		$1,536.17	$2,029.35	$3,770.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,541.82 / $2,080.92 / $3,692.90	Professional		$1,541.82	$2,080.92	$3,692.90
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 $1,263.71 / $1,658.62 / $2,685.39	Professional		$1,263.71	$1,658.62	$2,685.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,220.77 / $1,402.31 / $1,908.01	Professional		$1,220.77	$1,402.31	$1,908.01