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 $1,705.21 / $2,031.72 / $3,127.24	Professional		$1,705.21	$2,031.72	$3,127.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,713.57 / $2,279.06 / $3,416.38	Professional		$1,713.57	$2,279.06	$3,416.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,964.53 / $1,964.53 / $1,964.53	Facility		$1,964.53	$1,964.53	$1,964.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,182.71 / $2,895.05 / $4,213.29	Professional		$2,182.71	$2,895.05	$4,213.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $28,154.04	Facility		$55.00	$55.00	$28,154.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,540.58 / $14,757.04 / $18,758.70	Professional		$14,540.58	$14,757.04	$18,758.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,991.16 / $2,600.84 / $4,686.56	Facility		$1,991.16	$2,600.84	$4,686.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,267.94 / $3,154.51 / $3,711.19	Professional		$2,267.94	$3,154.51	$3,711.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,739.50 / $2,739.50 / $2,739.50	Professional		$2,739.50	$2,739.50	$2,739.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,991.16 / $2,637.06 / $4,797.09	Facility		$1,991.16	$2,637.06	$4,797.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,199.92 / $2,895.90 / $4,310.46	Professional		$2,199.92	$2,895.90	$4,310.46
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,547.00 / $9,000.00	Facility		$495.00	$2,547.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.21 / $2,388.66 / $3,768.02	Professional		$1,737.21	$2,388.66	$3,768.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,759.66 / $1,997.17 / $2,738.33	Professional		$1,759.66	$1,997.17	$2,738.33