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 $1,541.13 / $1,721.68 / $2,555.25	Professional		$1,541.13	$1,721.68	$2,555.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,611.95 / $2,040.34 / $2,324.69	Professional		$1,611.95	$2,040.34	$2,324.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,481.20 / $1,481.20 / $1,481.20	Facility		$1,481.20	$1,481.20	$1,481.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,780.44 / $2,342.53 / $3,670.08	Professional		$1,780.44	$2,342.53	$3,670.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $23,809.08	Facility		$55.00	$55.00	$23,809.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,283.70 / $14,283.70 / $14,611.20	Professional		$14,283.70	$14,283.70	$14,611.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,689.83 / $2,289.69 / $3,960.00	Facility		$1,689.83	$2,289.69	$3,960.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,863.39 / $2,591.80 / $3,049.18	Professional		$1,863.39	$2,591.80	$3,049.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,378.90 / $2,378.90 / $2,378.90	Professional		$2,378.90	$2,378.90	$2,378.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,689.83 / $2,315.73 / $4,320.00	Facility		$1,689.83	$2,315.73	$4,320.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,780.44 / $2,393.91 / $3,767.91	Professional		$1,780.44	$2,393.91	$3,767.91
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 $1,463.22 / $1,994.45 / $3,082.34	Professional		$1,463.22	$1,994.45	$3,082.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,445.77 / $1,648.55 / $2,285.06	Professional		$1,445.77	$1,648.55	$2,285.06