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 $1,355.46 / $1,550.49 / $2,432.56	Professional		$1,355.46	$1,550.49	$2,432.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,578.40 / $3,121.32 / $7,387.42	Facility		$1,578.40	$3,121.32	$7,387.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,627.61 / $1,627.61 / $1,627.61	Facility		$1,627.61	$1,627.61	$1,627.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,588.95 / $2,084.28 / $3,006.32	Professional		$1,588.95	$2,084.28	$3,006.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $22,941.84	Facility		$55.00	$55.00	$22,941.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,762.08 / $12,026.40 / $15,220.80	Professional		$11,762.08	$12,026.40	$15,220.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,447.38 / $1,936.04 / $3,759.78	Facility		$1,447.38	$1,936.04	$3,759.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,844.17 / $2,565.08 / $3,017.74	Professional		$1,844.17	$2,565.08	$3,017.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,972.70 / $1,972.70 / $1,972.70	Professional		$1,972.70	$1,972.70	$1,972.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,447.38 / $1,969.78 / $3,848.45	Facility		$1,447.38	$1,969.78	$3,848.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,523.60 / $2,086.65 / $3,343.43	Professional		$1,523.60	$2,086.65	$3,343.43
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 $1,214.85 / $1,746.74 / $2,933.74	Professional		$1,214.85	$1,746.74	$2,933.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,430.86 / $1,621.71 / $2,229.62	Professional		$1,430.86	$1,621.71	$2,229.62