Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,526.97 / $10,836.00	Facility		$969.00	$3,526.97	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,543.69 / $1,827.98 / $2,709.60	Professional		$1,543.69	$1,827.98	$2,709.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,739.74 / $2,217.21 / $3,151.51	Professional		$1,739.74	$2,217.21	$3,151.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,791.52 / $1,791.52 / $1,791.52	Facility		$1,791.52	$1,791.52	$1,791.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,904.42 / $2,539.21 / $3,706.98	Professional		$1,904.42	$2,539.21	$3,706.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,497.48	Facility		$55.00	$55.00	$25,497.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,979.56 / $15,979.56 / $16,961.18	Professional		$15,979.56	$15,979.56	$16,961.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,694.87 / $2,230.02 / $4,215.50	Facility		$1,694.87	$2,230.02	$4,215.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,052.33 / $2,854.60 / $3,358.35	Professional		$2,052.33	$2,854.60	$3,358.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,214.10 / $2,214.10 / $2,214.10	Professional		$2,214.10	$2,214.10	$2,214.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,694.87 / $2,243.39 / $4,323.16	Facility		$1,694.87	$2,243.39	$4,323.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,956.91 / $2,560.16 / $3,887.11	Professional		$1,956.91	$2,560.16	$3,887.11
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 $1,489.82 / $1,991.51 / $3,327.75	Professional		$1,489.82	$1,991.51	$3,327.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,592.36 / $1,806.40 / $2,479.19	Professional		$1,592.36	$1,806.40	$2,479.19