Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.76 / $3,682.00 / $12,281.00	Facility		$933.76	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $996.17 / $1,136.93 / $1,868.50	Professional		$996.17	$1,136.93	$1,868.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,036.06 / $1,311.39 / $1,787.01	Professional		$1,036.06	$1,311.39	$1,787.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,008.46 / $1,029.41	Facility		$80.00	$1,008.46	$1,029.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.55 / $1,273.55 / $1,273.55	Facility		$1,273.55	$1,273.55	$1,273.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.06 / $1,497.48 / $2,284.63	Professional		$1,111.06	$1,497.48	$2,284.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,889.40	Facility		$55.00	$55.00	$12,889.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,117.76 / $8,279.36 / $9,675.60	Professional		$8,117.76	$8,279.36	$9,675.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.69 / $1,353.76 / $2,247.50	Facility		$1,071.69	$1,353.76	$2,247.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,383.63 / $1,660.35 / $2,058.83	Professional		$1,383.63	$1,660.35	$2,058.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,422.00 / $1,422.00 / $1,422.00	Professional		$1,422.00	$1,422.00	$1,422.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,073.71 / $1,363.97 / $2,260.94	Facility		$1,073.71	$1,363.97	$2,260.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,141.90 / $1,542.33 / $2,331.25	Professional		$1,141.90	$1,542.33	$2,331.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $7,918.00 / $16,194.00	Facility		$2,614.00	$7,918.00	$16,194.00
United Facility/Professional Professional Modifier Low / Median / High Price $879.26 / $1,216.56 / $1,884.25	Professional		$879.26	$1,216.56	$1,884.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $944.71 / $1,073.71 / $1,488.82	Professional		$944.71	$1,073.71	$1,488.82