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 $1,385.53 / $1,614.15 / $2,173.35	Professional		$1,385.53	$1,614.15	$2,173.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,356.09 / $1,420.85 / $1,638.66	Professional		$1,356.09	$1,420.85	$1,638.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,323.75 / $1,323.75 / $1,323.75	Facility		$1,323.75	$1,323.75	$1,323.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,536.68 / $2,032.48 / $3,137.34	Professional		$1,536.68	$2,032.48	$3,137.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $15,414.48	Facility		$55.00	$55.00	$15,414.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,894.00 / $12,894.00 / $12,894.00	Professional		$12,894.00	$12,894.00	$12,894.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,470.13 / $1,963.33 / $3,343.39	Facility		$1,470.13	$1,963.33	$3,343.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,605.42 / $2,232.98 / $2,627.05	Professional		$1,605.42	$2,232.98	$2,627.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,244.69 / $2,244.69 / $2,244.69	Professional		$2,244.69	$2,244.69	$2,244.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,470.13 / $1,964.05 / $3,806.53	Facility		$1,470.13	$1,964.05	$3,806.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,536.68 / $2,078.60 / $3,409.20	Professional		$1,536.68	$2,078.60	$3,409.20
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 $1,250.95 / $1,718.27 / $2,679.86	Professional		$1,250.95	$1,718.27	$2,679.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,245.60 / $1,428.11 / $1,969.65	Professional		$1,245.60	$1,428.11	$1,969.65