Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,570.00 / $10,836.00	Facility		$969.00	$3,570.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,604.95 / $1,856.57 / $2,785.44	Professional		$1,604.95	$1,856.57	$2,785.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,497.32 / $1,902.38 / $2,622.39	Professional		$1,497.32	$1,902.38	$2,622.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,499.16 / $1,499.16 / $1,499.16	Facility		$1,499.16	$1,499.16	$1,499.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,719.41 / $2,286.21 / $3,546.73	Professional		$1,719.41	$2,286.21	$3,546.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $29,323.36	Facility		$55.00	$55.00	$29,323.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,503.60 / $11,802.08 / $14,102.03	Professional		$11,503.60	$11,802.08	$14,102.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,570.84 / $2,128.61 / $3,707.84	Facility		$1,570.84	$2,128.61	$3,707.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,072.67 / $2,391.54 / $2,790.13	Professional		$2,072.67	$2,391.54	$2,790.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,670.00 / $1,670.00 / $1,670.00	Professional		$1,670.00	$1,670.00	$1,670.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,570.84 / $2,159.46 / $4,202.97	Facility		$1,570.84	$2,159.46	$4,202.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,719.41 / $2,359.71 / $4,027.06	Professional		$1,719.41	$2,359.71	$4,027.06
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 $1,424.55 / $1,857.17 / $3,036.66	Professional		$1,424.55	$1,857.17	$3,036.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,360.74 / $1,563.37 / $2,126.46	Professional		$1,360.74	$1,563.37	$2,126.46