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 $1,253.29 / $1,466.79 / $2,282.44	Professional		$1,253.29	$1,466.79	$2,282.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,257.55 / $1,961.35 / $3,052.24	Professional		$1,257.55	$1,961.35	$3,052.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,457.91 / $1,457.91 / $1,457.91	Facility		$1,457.91	$1,457.91	$1,457.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,603.24 / $2,123.25 / $3,091.91	Professional		$1,603.24	$2,123.25	$3,091.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $20,711.04	Facility		$55.00	$55.00	$20,711.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,781.76 / $13,781.76 / $13,781.76	Professional		$13,781.76	$13,781.76	$13,781.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,457.23 / $1,907.26 / $3,420.56	Facility		$1,457.23	$1,907.26	$3,420.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,666.97 / $2,318.61 / $2,727.77	Professional		$1,666.97	$2,318.61	$2,727.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,926.10 / $1,926.10 / $1,926.10	Professional		$1,926.10	$1,926.10	$1,926.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,457.23 / $1,939.20 / $3,557.34	Facility		$1,457.23	$1,939.20	$3,557.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,605.76 / $2,127.33 / $3,143.41	Professional		$1,605.76	$2,127.33	$3,143.41
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 $1,245.65 / $1,682.42 / $2,703.19	Professional		$1,245.65	$1,682.42	$2,703.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,293.36 / $1,467.12 / $2,013.78	Professional		$1,293.36	$1,467.12	$2,013.78