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 $2,062.64 / $2,470.88 / $2,969.72	Professional		$2,062.64	$2,470.88	$2,969.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,010.59 / $2,340.10 / $3,409.52	Professional		$2,010.59	$2,340.10	$3,409.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,992.88 / $1,992.88 / $1,992.88	Facility		$1,992.88	$1,992.88	$1,992.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,850.14 / $2,677.26 / $3,935.92	Professional		$1,850.14	$2,677.26	$3,935.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $39,591.04	Facility		$55.00	$55.00	$39,591.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,501.36 / $15,864.88 / $18,984.00	Professional		$15,501.36	$15,864.88	$18,984.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,545.85 / $2,449.76 / $4,508.81	Facility		$1,545.85	$2,449.76	$4,508.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,789.63 / $3,218.81 / $3,755.27	Professional		$2,789.63	$3,218.81	$3,755.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.60 / $1,862.60 / $1,862.60	Professional		$1,862.60	$1,862.60	$1,862.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,545.85 / $2,449.76 / $4,809.85	Facility		$1,545.85	$2,449.76	$4,809.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,850.14 / $2,812.26 / $4,366.71	Professional		$1,850.14	$2,812.26	$4,366.71
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 $1,611.85 / $2,253.36 / $3,755.87	Professional		$1,611.85	$2,253.36	$3,755.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,831.44 / $2,092.01 / $2,868.94	Professional		$1,831.44	$2,092.01	$2,868.94