Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.03 / $3,682.00 / $12,377.00	Facility		$974.03	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.42 / $1,073.31 / $1,811.82	Professional		$940.42	$1,073.31	$1,811.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.57 / $1,237.36 / $1,686.14	Professional		$977.57	$1,237.36	$1,686.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $952.16 / $971.23	Facility		$80.00	$952.16	$971.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.39 / $1,200.39 / $1,200.39	Facility		$1,200.39	$1,200.39	$1,200.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.22 / $1,410.53 / $2,149.00	Professional		$1,023.22	$1,410.53	$2,149.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,951.64 / $26,542.00 / $37,623.85	Facility		$5,951.64	$26,542.00	$37,623.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,654.80 / $7,810.16 / $9,125.33	Professional		$7,654.80	$7,810.16	$9,125.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,027.41 / $1,315.85 / $2,021.36	Facility		$1,027.41	$1,315.85	$2,021.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,304.78 / $1,565.73 / $1,941.51	Professional		$1,304.78	$1,565.73	$1,941.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,435.80 / $1,435.80 / $1,435.80	Professional		$1,435.80	$1,435.80	$1,435.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,027.41 / $1,318.20 / $2,131.17	Facility		$1,027.41	$1,318.20	$2,131.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,058.61 / $1,460.40 / $2,200.80	Professional		$1,058.61	$1,460.40	$2,200.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $826.64 / $1,133.69 / $1,771.20	Professional		$826.64	$1,133.69	$1,771.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $890.87 / $1,012.19 / $1,404.12	Professional		$890.87	$1,012.19	$1,404.12