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 / $12,040.00	Facility		$969.00	$3,570.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,569.24 / $1,857.31 / $2,851.72	Professional		$1,569.24	$1,857.31	$2,851.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,532.14 / $2,257.34 / $3,828.68	Professional		$1,532.14	$2,257.34	$3,828.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,807.75 / $1,807.75 / $1,807.75	Facility		$1,807.75	$1,807.75	$1,807.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,023.73 / $2,667.74 / $3,879.51	Professional		$2,023.73	$2,667.74	$3,879.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,925.16	Facility		$55.00	$55.00	$25,925.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,431.60 / $13,585.92 / $17,283.98	Professional		$13,431.60	$13,585.92	$17,283.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,810.94 / $2,391.77 / $4,325.16	Facility		$1,810.94	$2,391.77	$4,325.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,088.96 / $2,905.56 / $3,418.31	Professional		$2,088.96	$2,905.56	$3,418.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,460.40 / $2,460.40 / $2,460.40	Professional		$2,460.40	$2,460.40	$2,460.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,810.94 / $2,426.15 / $4,427.17	Facility		$1,810.94	$2,426.15	$4,427.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,039.53 / $2,667.74 / $3,983.07	Professional		$2,039.53	$2,667.74	$3,983.07
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 $1,548.85 / $2,168.39 / $3,419.80	Professional		$1,548.85	$2,168.39	$3,419.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,620.79 / $1,839.82 / $2,521.80	Professional		$1,620.79	$1,839.82	$2,521.80