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 $1,758.16 / $2,105.66 / $3,193.98	Professional		$1,758.16	$2,105.66	$3,193.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,767.75 / $2,766.45 / $4,293.60	Professional		$1,767.75	$2,766.45	$4,293.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,023.91 / $2,023.91 / $2,023.91	Facility		$2,023.91	$2,023.91	$2,023.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,261.85 / $2,987.91 / $4,344.99	Professional		$2,261.85	$2,987.91	$4,344.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $29,040.72	Facility		$55.00	$55.00	$29,040.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,867.68 / $16,867.68 / $19,357.88	Professional		$16,867.68	$16,867.68	$19,357.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,032.86 / $2,678.82 / $4,837.84	Facility		$2,032.86	$2,678.82	$4,837.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,339.82 / $3,254.48 / $3,828.80	Professional		$2,339.82	$3,254.48	$3,828.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,686.80 / $2,686.80 / $2,686.80	Professional		$2,686.80	$2,686.80	$2,686.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,032.86 / $2,720.16 / $4,990.35	Facility		$2,032.86	$2,720.16	$4,990.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,266.41 / $2,987.91 / $4,448.05	Professional		$2,266.41	$2,987.91	$4,448.05
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 $1,745.80 / $2,463.06 / $3,889.69	Professional		$1,745.80	$2,463.06	$3,889.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,815.42 / $2,060.63 / $2,824.78	Professional		$1,815.42	$2,060.63	$2,824.78