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 $2,090.23 / $2,412.08 / $2,892.66	Professional		$2,090.23	$2,412.08	$2,892.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,964.69 / $2,392.59 / $3,464.69	Professional		$1,964.69	$2,392.59	$3,464.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,953.31 / $1,953.31 / $1,953.31	Facility		$1,953.31	$1,953.31	$1,953.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,242.16 / $2,944.00 / $4,565.14	Professional		$2,242.16	$2,944.00	$4,565.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $38,200.48	Facility		$55.00	$55.00	$38,200.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,252.16 / $22,252.16 / $22,252.16	Professional		$22,252.16	$22,252.16	$22,252.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,139.86 / $2,705.37 / $4,962.04	Facility		$2,139.86	$2,705.37	$4,962.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,700.91 / $3,116.43 / $3,635.84	Professional		$2,700.91	$3,116.43	$3,635.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,267.30 / $3,547.91 / $7,761.90	Professional		$2,267.30	$3,547.91	$7,761.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,139.86 / $2,743.55 / $5,932.94	Facility		$2,139.86	$2,743.55	$5,932.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,241.75 / $3,023.72 / $5,221.04	Professional		$2,241.75	$3,023.72	$5,221.04
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 $1,840.86 / $2,398.75 / $3,864.76	Professional		$1,840.86	$2,398.75	$3,864.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,773.19 / $2,037.96 / $2,770.47	Professional		$1,773.19	$2,037.96	$2,770.47