Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $10,836.00	Facility		$969.00	$3,682.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,499.46 / $2,952.99 / $4,547.18	Professional		$2,499.46	$2,952.99	$4,547.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,847.46 / $3,605.12 / $5,021.43	Professional		$2,847.46	$3,605.12	$5,021.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,844.01 / $2,844.01 / $2,844.01	Facility		$2,844.01	$2,844.01	$2,844.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,272.71 / $4,253.82 / $6,153.70	Professional		$3,272.71	$4,253.82	$6,153.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $41,256.96	Facility		$55.00	$55.00	$41,256.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,466.74 / $21,620.88 / $27,569.85	Professional		$21,466.74	$21,620.88	$27,569.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,863.23 / $3,827.33 / $6,958.77	Facility		$2,863.23	$3,827.33	$6,958.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,328.26 / $4,629.31 / $5,446.24	Professional		$3,328.26	$4,629.31	$5,446.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,148.50 / $4,148.50 / $4,148.50	Professional		$4,148.50	$4,148.50	$4,148.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,863.23 / $3,827.33 / $7,094.47	Facility		$2,863.23	$3,827.33	$7,094.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,272.71 / $4,253.82 / $6,231.42	Professional		$3,272.71	$4,253.82	$6,231.42
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 $2,461.83 / $3,529.09 / $5,470.18	Professional		$2,461.83	$3,529.09	$5,470.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,582.34 / $2,933.67 / $4,014.91	Professional		$2,582.34	$2,933.67	$4,014.91