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 $1,987.93 / $2,294.44 / $2,754.62	Professional		$1,987.93	$2,294.44	$2,754.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,855.60 / $2,159.71 / $3,222.56	Professional		$1,855.60	$2,159.71	$3,222.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,858.05 / $1,858.05 / $1,858.05	Facility		$1,858.05	$1,858.05	$1,858.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,132.28 / $2,818.15 / $4,340.68	Professional		$2,132.28	$2,818.15	$4,340.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $36,335.04	Facility		$55.00	$55.00	$36,335.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,123.51 / $21,123.51 / $21,123.51	Professional		$21,123.51	$21,123.51	$21,123.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,035.11 / $2,609.03 / $4,724.34	Facility		$2,035.11	$2,609.03	$4,724.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,568.87 / $2,964.08 / $3,458.09	Professional		$2,568.87	$2,964.08	$3,458.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,156.67 / $3,374.65 / $7,383.98	Professional		$2,156.67	$3,374.65	$7,383.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,035.11 / $2,695.47 / $5,642.54	Facility		$2,035.11	$2,695.47	$5,642.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,132.02 / $2,881.65 / $4,998.83	Professional		$2,132.02	$2,881.65	$4,998.83
United Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $2,547.00 / $9,024.00	Facility		$448.00	$2,547.00	$9,024.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,766.57 / $2,339.59 / $3,674.44	Professional		$1,766.57	$2,339.59	$3,674.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,686.50 / $1,938.20 / $2,635.12	Professional		$1,686.50	$1,938.20	$2,635.12