Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,622.31 / $10,836.00	Facility		$969.00	$3,622.31	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,155.98 / $2,576.98 / $3,117.04	Professional		$2,155.98	$2,576.98	$3,117.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,124.13 / $2,688.63 / $3,745.86	Professional		$2,124.13	$2,688.63	$3,745.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,089.39 / $2,089.39 / $2,089.39	Facility		$2,089.39	$2,089.39	$2,089.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,925.16 / $2,808.82 / $4,128.49	Professional		$1,925.16	$2,808.82	$4,128.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $41,537.60	Facility		$55.00	$55.00	$41,537.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,263.12 / $16,643.84 / $19,921.80	Professional		$16,263.12	$16,643.84	$19,921.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,640.63 / $2,549.78 / $4,771.24	Facility		$1,640.63	$2,549.78	$4,771.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,927.13 / $3,377.46 / $3,940.37	Professional		$2,927.13	$3,377.46	$3,940.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.70 / $1,949.70 / $1,949.70	Professional		$1,949.70	$1,949.70	$1,949.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,640.63 / $2,557.50 / $5,082.08	Facility		$1,640.63	$2,557.50	$5,082.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,941.06 / $2,952.06 / $4,583.64	Professional		$1,941.06	$2,952.06	$4,583.64
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 $1,667.78 / $2,343.54 / $3,840.44	Professional		$1,667.78	$2,343.54	$3,840.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,921.71 / $2,195.34 / $3,010.14	Professional		$1,921.71	$2,195.34	$3,010.14