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 / $10,893.00	Facility		$969.00	$3,596.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,607.74 / $1,899.73 / $2,822.80	Professional		$1,607.74	$1,899.73	$2,822.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,835.98 / $3,076.19 / $3,921.19	Professional		$1,835.98	$3,076.19	$3,921.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,846.66 / $1,846.66 / $1,846.66	Facility		$1,846.66	$1,846.66	$1,846.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,047.48 / $2,559.98 / $3,569.24	Professional		$2,047.48	$2,559.98	$3,569.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $26,518.20	Facility		$55.00	$55.00	$26,518.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,700.10 / $13,902.00 / $17,676.59	Professional		$13,700.10	$13,902.00	$17,676.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,815.11 / $2,322.44 / $4,419.14	Facility		$1,815.11	$2,322.44	$4,419.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,136.65 / $2,971.89 / $3,496.34	Professional		$2,136.65	$2,971.89	$3,496.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,516.40 / $2,516.40 / $2,516.40	Professional		$2,516.40	$2,516.40	$2,516.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,815.11 / $2,348.38 / $4,563.41	Facility		$1,815.11	$2,348.38	$4,563.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,037.81 / $2,583.92 / $3,929.43	Professional		$2,037.81	$2,583.92	$3,929.43
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 $1,478.32 / $2,048.81 / $3,482.98	Professional		$1,478.32	$2,048.81	$3,482.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,657.79 / $1,881.87 / $2,579.42	Professional		$1,657.79	$1,881.87	$2,579.42