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 $1,356.95 / $1,606.38 / $2,458.01	Professional		$1,356.95	$1,606.38	$2,458.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,360.19 / $2,092.82 / $3,271.08	Professional		$1,360.19	$2,092.82	$3,271.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,578.63 / $1,578.63 / $1,578.63	Facility		$1,578.63	$1,578.63	$1,578.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,711.13 / $2,240.48 / $3,340.23	Professional		$1,711.13	$2,240.48	$3,340.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $22,399.68	Facility		$55.00	$55.00	$22,399.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,695.91 / $13,695.91 / $14,886.90	Professional		$13,695.91	$13,695.91	$14,886.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,568.95 / $2,061.55 / $3,700.18	Facility		$1,568.95	$2,061.55	$3,700.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,802.19 / $2,506.67 / $2,949.03	Professional		$1,802.19	$2,506.67	$2,949.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,881.60 / $1,881.60 / $1,881.60	Professional		$1,881.60	$1,881.60	$1,881.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,568.95 / $2,096.69 / $3,851.57	Facility		$1,568.95	$2,096.69	$3,851.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,727.13 / $2,253.40 / $3,405.19	Professional		$1,727.13	$2,253.40	$3,405.19
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 $1,326.10 / $1,833.59 / $2,916.08	Professional		$1,326.10	$1,833.59	$2,916.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,398.28 / $1,585.81 / $2,177.63	Professional		$1,398.28	$1,585.81	$2,177.63