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 $1,788.98 / $2,115.89 / $3,248.57	Professional		$1,788.98	$2,115.89	$3,248.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,736.26 / $2,582.04 / $4,310.03	Professional		$1,736.26	$2,582.04	$4,310.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,057.02 / $2,057.02 / $2,057.02	Facility		$2,057.02	$2,057.02	$2,057.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,296.57 / $3,038.98 / $4,421.64	Professional		$2,296.57	$3,038.98	$4,421.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $29,534.52	Facility		$55.00	$55.00	$29,534.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,272.28 / $15,478.16 / $19,687.34	Professional		$15,272.28	$15,478.16	$19,687.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,086.96 / $2,767.15 / $4,924.93	Facility		$2,086.96	$2,767.15	$4,924.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,379.66 / $3,309.89 / $3,893.99	Professional		$2,379.66	$3,309.89	$3,893.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,737.90 / $2,737.90 / $2,737.90	Professional		$2,737.90	$2,737.90	$2,737.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,086.96 / $2,767.15 / $5,041.08	Facility		$2,086.96	$2,767.15	$5,041.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,299.57 / $3,038.98 / $4,527.78	Professional		$2,299.57	$3,038.98	$4,527.78
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 $1,764.24 / $2,397.78 / $3,878.07	Professional		$1,764.24	$2,397.78	$3,878.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,846.34 / $2,095.85 / $2,872.83	Professional		$1,846.34	$2,095.85	$2,872.83