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 $1,723.12 / $1,998.03 / $3,127.78	Professional		$1,723.12	$1,998.03	$3,127.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,681.54 / $2,477.46 / $4,202.03	Professional		$1,681.54	$2,477.46	$4,202.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,984.61 / $1,984.61 / $1,984.61	Facility		$1,984.61	$1,984.61	$1,984.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,230.85 / $2,925.98 / $4,256.75	Professional		$2,230.85	$2,925.98	$4,256.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $28,444.56	Facility		$55.00	$55.00	$28,444.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,696.64 / $14,910.00 / $18,953.48	Professional		$14,696.64	$14,910.00	$18,953.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,976.48 / $2,623.30 / $4,737.72	Facility		$1,976.48	$2,623.30	$4,737.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,291.42 / $3,187.16 / $3,749.60	Professional		$2,291.42	$3,187.16	$3,749.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,744.30 / $2,744.30 / $2,744.30	Professional		$2,744.30	$2,744.30	$2,744.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,976.48 / $2,664.14 / $4,849.47	Facility		$1,976.48	$2,664.14	$4,849.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,236.13 / $2,926.28 / $4,357.03	Professional		$2,236.13	$2,926.28	$4,357.03
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 $1,691.54 / $2,305.10 / $3,732.06	Professional		$1,691.54	$2,305.10	$3,732.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,777.87 / $2,017.92 / $2,766.61	Professional		$1,777.87	$2,017.92	$2,766.61