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 $1,552.07 / $1,837.55 / $2,792.71	Professional		$1,552.07	$1,837.55	$2,792.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,897.10 / $3,370.38 / $16,864.00	Facility		$1,897.10	$3,370.38	$16,864.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,507.20 / $2,075.19 / $3,834.18	Professional		$1,507.20	$2,075.19	$3,834.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,789.57 / $1,789.57 / $1,789.57	Facility		$1,789.57	$1,789.57	$1,789.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,984.46 / $2,585.54 / $3,806.51	Professional		$1,984.46	$2,585.54	$3,806.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,648.56	Facility		$55.00	$55.00	$25,648.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,282.32 / $13,439.44 / $17,097.23	Professional		$13,282.32	$13,439.44	$17,097.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,780.02 / $2,366.04 / $4,278.56	Facility		$1,780.02	$2,366.04	$4,278.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,066.55 / $2,874.38 / $3,381.62	Professional		$2,066.55	$2,874.38	$3,381.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,442.90 / $2,442.90 / $2,442.90	Professional		$2,442.90	$2,442.90	$2,442.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,780.02 / $2,402.44 / $4,379.47	Facility		$1,780.02	$2,402.44	$4,379.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,017.50 / $2,596.48 / $3,852.85	Professional		$2,017.50	$2,596.48	$3,852.85
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 $1,511.82 / $2,119.10 / $3,367.02	Professional		$1,511.82	$2,119.10	$3,367.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,603.40 / $1,820.03 / $2,494.84	Professional		$1,603.40	$1,820.03	$2,494.84