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 $1,801.43 / $1,992.41 / $2,757.38	Professional		$1,801.43	$1,992.41	$2,757.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,700.30 / $1,781.51 / $2,054.60	Professional		$1,700.30	$1,781.51	$2,054.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,657.41 / $1,657.41 / $1,657.41	Facility		$1,657.41	$1,657.41	$1,657.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,918.45 / $2,546.21 / $3,935.35	Professional		$1,918.45	$2,546.21	$3,935.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,321.83	Facility		$55.00	$55.00	$19,321.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,470.00 / $24,470.00 / $24,470.00	Professional		$24,470.00	$24,470.00	$24,470.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,864.40 / $2,446.82 / $4,193.76	Facility		$1,864.40	$2,446.82	$4,193.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,012.47 / $2,799.17 / $3,293.14	Professional		$2,012.47	$2,799.17	$3,293.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,613.50 / $2,613.50 / $2,613.50	Professional		$2,613.50	$2,613.50	$2,613.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,864.40 / $2,446.82 / $4,482.92	Facility		$1,864.40	$2,446.82	$4,482.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,926.65 / $2,582.07 / $4,274.59	Professional		$1,926.65	$2,582.07	$4,274.59
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 $1,581.02 / $2,173.90 / $3,359.66	Professional		$1,581.02	$2,173.90	$3,359.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,561.44 / $1,790.29 / $2,468.96	Professional		$1,561.44	$1,790.29	$2,468.96