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 $1,567.55 / $1,730.76 / $2,396.19	Professional		$1,567.55	$1,730.76	$2,396.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,316.08 / $1,750.39 / $2,623.90	Professional		$1,316.08	$1,750.39	$2,623.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,441.81 / $1,441.81 / $1,441.81	Facility		$1,441.81	$1,441.81	$1,441.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,674.14 / $2,219.10 / $3,418.53	Professional		$1,674.14	$2,219.10	$3,418.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,928.88	Facility		$55.00	$55.00	$14,928.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,595.18 / $14,877.05 / $15,367.99	Professional		$13,595.18	$14,877.05	$15,367.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,619.55 / $2,150.92 / $3,673.45	Facility		$1,619.55	$2,150.92	$3,673.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,749.17 / $2,432.92 / $2,862.27	Professional		$1,749.17	$2,432.92	$2,862.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,595.19 / $2,595.19 / $2,595.19	Professional		$2,595.19	$2,595.19	$2,595.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,619.55 / $2,190.44 / $3,894.21	Facility		$1,619.55	$2,190.44	$3,894.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,674.14 / $2,262.69 / $3,727.01	Professional		$1,674.14	$2,262.69	$3,727.01
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 $1,336.73 / $1,838.00 / $2,936.33	Professional		$1,336.73	$1,838.00	$2,936.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,357.15 / $1,555.96 / $2,146.03	Professional		$1,357.15	$1,555.96	$2,146.03