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 $1,646.62 / $1,921.95 / $2,994.55	Professional		$1,646.62	$1,921.95	$2,994.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,600.03 / $2,631.02 / $4,083.40	Professional		$1,600.03	$2,631.02	$4,083.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,896.97 / $1,896.97 / $1,896.97	Facility		$1,896.97	$1,896.97	$1,896.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,097.23 / $2,801.35 / $4,076.11	Professional		$2,097.23	$2,801.35	$4,076.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $27,213.00	Facility		$55.00	$55.00	$27,213.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,935.84 / $14,256.32 / $18,150.15	Professional		$13,935.84	$14,256.32	$18,150.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,849.33 / $2,511.56 / $4,556.66	Facility		$1,849.33	$2,511.56	$4,556.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,193.21 / $3,050.58 / $3,588.91	Professional		$2,193.21	$3,050.58	$3,588.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,527.40 / $2,527.40 / $2,527.40	Professional		$2,527.40	$2,527.40	$2,527.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,849.33 / $2,549.23 / $4,664.13	Facility		$1,849.33	$2,549.23	$4,664.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,097.23 / $2,801.35 / $4,251.45	Professional		$2,097.23	$2,801.35	$4,251.45
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,000.00 / $8,759.00	Facility		$385.00	$2,000.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,607.03 / $2,256.84 / $3,582.97	Professional		$1,607.03	$2,256.84	$3,582.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,701.68 / $1,931.97 / $2,647.28	Professional		$1,701.68	$1,931.97	$2,647.28