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 $1,452.17 / $1,588.70 / $2,183.83	Professional		$1,452.17	$1,588.70	$2,183.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,400.18 / $1,772.29 / $2,469.19	Professional		$1,400.18	$1,772.29	$2,469.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,442.81 / $1,442.81 / $1,442.81	Facility		$1,442.81	$1,442.81	$1,442.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,887.18 / $1,887.18 / $3,588.69	Professional		$1,887.18	$1,887.18	$3,588.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,893.44	Facility		$55.00	$55.00	$13,893.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,672.22 / $12,672.22 / $13,252.73	Professional		$12,672.22	$12,672.22	$13,252.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,471.48 / $1,890.51 / $3,325.81	Facility		$1,471.48	$1,890.51	$3,325.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,650.61 / $2,295.84 / $2,700.99	Professional		$1,650.61	$2,295.84	$2,700.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,900.70 / $1,900.70 / $1,900.70	Professional		$1,900.70	$1,900.70	$1,900.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,464.81 / $1,901.61 / $3,537.16	Facility		$1,464.81	$1,901.61	$3,537.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,455.89 / $2,612.37 / $4,257.02	Professional		$1,455.89	$2,612.37	$4,257.02
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 $1,183.38 / $1,656.73 / $2,626.47	Professional		$1,183.38	$1,656.73	$2,626.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,280.67 / $1,455.89 / $2,011.38	Professional		$1,280.67	$1,455.89	$2,011.38