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 $1,451.95 / $1,611.57 / $2,376.07	Professional		$1,451.95	$1,611.57	$2,376.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,506.68 / $1,907.09 / $2,172.89	Professional		$1,506.68	$1,907.09	$2,172.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,399.18 / $1,399.18 / $1,399.18	Facility		$1,399.18	$1,399.18	$1,399.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,636.91 / $2,176.76 / $3,386.15	Professional		$1,636.91	$2,176.76	$3,386.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,959.24	Facility		$55.00	$55.00	$12,959.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,739.36 / $12,116.64 / $13,642.20	Professional		$11,739.36	$12,116.64	$13,642.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,547.75 / $2,070.00 / $3,597.05	Facility		$1,547.75	$2,070.00	$3,597.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.43 / $2,416.60 / $2,843.06	Professional		$1,737.43	$2,416.60	$2,843.06
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 $1,547.75 / $2,127.98 / $3,681.88	Facility		$1,547.75	$2,127.98	$3,681.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,656.55 / $2,223.27 / $3,459.91	Professional		$1,656.55	$2,223.27	$3,459.91
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 $1,346.86 / $1,836.79 / $2,862.09	Professional		$1,346.86	$1,836.79	$2,862.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,348.04 / $1,532.95 / $2,132.11	Professional		$1,348.04	$1,532.95	$2,132.11