Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,570.00 / $10,836.00	Facility		$969.00	$3,570.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.54 / $2,055.23 / $3,154.56	Professional		$1,737.54	$2,055.23	$3,154.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,745.97 / $2,721.90 / $4,254.34	Professional		$1,745.97	$2,721.90	$4,254.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,004.99 / $2,004.99 / $2,004.99	Facility		$2,004.99	$2,004.99	$2,004.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,222.98 / $2,951.04 / $4,296.41	Professional		$2,222.98	$2,951.04	$4,296.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $28,685.28	Facility		$55.00	$55.00	$28,685.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,873.28 / $15,034.64 / $19,117.43	Professional		$14,873.28	$15,034.64	$19,117.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,018.85 / $2,672.47 / $4,790.46	Facility		$2,018.85	$2,672.47	$4,790.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,311.00 / $3,214.39 / $3,781.64	Professional		$2,311.00	$3,214.39	$3,781.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,648.30 / $2,648.30 / $2,648.30	Professional		$2,648.30	$2,648.30	$2,648.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,018.85 / $2,672.47 / $4,903.43	Facility		$2,018.85	$2,672.47	$4,903.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,229.53 / $2,951.04 / $4,408.54	Professional		$2,229.53	$2,951.04	$4,408.54
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 $1,713.05 / $2,372.63 / $3,769.50	Professional		$1,713.05	$2,372.63	$3,769.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,793.06 / $2,035.20 / $2,790.11	Professional		$1,793.06	$2,035.20	$2,790.11