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 $1,311.84 / $1,554.54 / $2,381.57	Professional		$1,311.84	$1,554.54	$2,381.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,316.63 / $1,739.27 / $3,031.69	Professional		$1,316.63	$1,739.27	$3,031.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,523.75 / $1,523.75 / $1,523.75	Facility		$1,523.75	$1,523.75	$1,523.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,696.17 / $2,223.84 / $3,238.44	Professional		$1,696.17	$2,223.84	$3,238.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,877.33	Facility		$55.00	$55.00	$19,877.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,186.28 / $11,363.12 / $14,428.65	Professional		$11,186.28	$11,363.12	$14,428.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,518.21 / $1,997.45 / $3,596.28	Facility		$1,518.21	$1,997.45	$3,596.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,745.61 / $2,427.98 / $2,856.46	Professional		$1,745.61	$2,427.98	$2,856.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,009.40 / $2,009.40 / $2,009.40	Professional		$2,009.40	$2,009.40	$2,009.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,518.21 / $2,030.44 / $3,681.10	Facility		$1,518.21	$2,030.44	$3,681.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,697.89 / $2,227.92 / $3,313.46	Professional		$1,697.89	$2,227.92	$3,313.46
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 $1,297.80 / $1,781.18 / $2,832.03	Professional		$1,297.80	$1,781.18	$2,832.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,354.39 / $1,536.50 / $2,108.54	Professional		$1,354.39	$1,536.50	$2,108.54