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 $1,311.18 / $1,552.08 / $2,299.60	Professional		$1,311.18	$1,552.08	$2,299.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,493.78 / $1,888.23 / $3,190.34	Professional		$1,493.78	$1,888.23	$3,190.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,522.22 / $1,522.22 / $1,522.22	Facility		$1,522.22	$1,522.22	$1,522.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,673.22 / $2,165.84 / $3,219.30	Professional		$1,673.22	$2,165.84	$3,219.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $21,645.24	Facility		$55.00	$55.00	$21,645.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,683.78 / $12,683.78 / $14,396.55	Professional		$12,683.78	$12,683.78	$14,396.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,439.74 / $1,914.97 / $3,630.00	Facility		$1,439.74	$1,914.97	$3,630.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,742.05 / $2,423.03 / $2,850.62	Professional		$1,742.05	$2,423.03	$2,850.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,940.90 / $1,940.90 / $1,940.90	Professional		$1,940.90	$1,940.90	$1,940.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,450.40 / $1,928.88 / $3,721.65	Facility		$1,450.40	$1,928.88	$3,721.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,690.53 / $2,175.23 / $3,241.94	Professional		$1,690.53	$2,175.23	$3,241.94
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 $1,258.73 / $1,742.15 / $2,819.14	Professional		$1,258.73	$1,742.15	$2,819.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,351.62 / $1,533.07 / $2,104.56	Professional		$1,351.62	$1,533.07	$2,104.56