Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $10,836.00	Facility		$969.00	$3,682.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,715.57 / $3,093.47 / $4,833.43	Professional		$2,715.57	$3,093.47	$4,833.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,069.56 / $5,143.05 / $6,555.80	Professional		$3,069.56	$5,143.05	$6,555.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,106.59 / $3,106.59 / $3,106.59	Facility		$3,106.59	$3,106.59	$3,106.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,455.31 / $4,500.81 / $6,660.24	Professional		$3,455.31	$4,500.81	$6,660.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $58,742.72	Facility		$55.00	$55.00	$58,742.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,970.64 / $23,209.12 / $29,274.90	Professional		$22,970.64	$23,209.12	$29,274.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,031.60 / $4,051.85 / $7,409.55	Facility		$3,031.60	$4,051.85	$7,409.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,544.23 / $4,929.71 / $5,799.65	Professional		$3,544.23	$4,929.71	$5,799.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,866.40 / $3,866.40 / $3,866.40	Professional		$3,866.40	$3,866.40	$3,866.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,077.14 / $4,105.92 / $7,584.30	Facility		$3,077.14	$4,105.92	$7,584.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,490.94 / $4,521.60 / $6,765.92	Professional		$3,490.94	$4,521.60	$6,765.92
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 $2,643.22 / $3,669.82 / $5,851.18	Professional		$2,643.22	$3,669.82	$5,851.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,749.91 / $3,118.34 / $4,282.93	Professional		$2,749.91	$3,118.34	$4,282.93