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 $1,728.20 / $1,913.55 / $2,644.46	Professional		$1,728.20	$1,913.55	$2,644.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,632.74 / $1,710.72 / $1,972.97	Professional		$1,632.74	$1,710.72	$1,972.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,584.93 / $1,584.93 / $1,584.93	Facility		$1,584.93	$1,584.93	$1,584.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,844.30 / $2,438.42 / $3,777.51	Professional		$1,844.30	$2,438.42	$3,777.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $18,491.84	Facility		$55.00	$55.00	$18,491.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,885.00 / $24,885.00 / $24,885.00	Professional		$24,885.00	$24,885.00	$24,885.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,789.62 / $2,369.34 / $4,031.01	Facility		$1,789.62	$2,369.34	$4,031.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,926.01 / $2,678.91 / $3,151.66	Professional		$1,926.01	$2,678.91	$3,151.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,601.50 / $2,601.50 / $2,601.50	Professional		$2,601.50	$2,601.50	$2,601.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,789.62 / $2,383.44 / $4,305.49	Facility		$1,789.62	$2,383.44	$4,305.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,844.30 / $2,478.58 / $4,105.85	Professional		$1,844.30	$2,478.58	$4,105.85
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 $1,520.38 / $2,090.53 / $3,230.82	Professional		$1,520.38	$2,090.53	$3,230.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,494.36 / $1,713.95 / $2,362.81	Professional		$1,494.36	$1,713.95	$2,362.81