Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.79 / $3,682.00 / $12,826.00	Facility		$955.79	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.75 / $1,053.33 / $1,778.17	Professional		$869.75	$1,053.33	$1,778.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $960.03 / $1,215.16 / $1,655.88	Professional		$960.03	$1,215.16	$1,655.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $933.97 / $952.70	Facility		$80.00	$933.97	$952.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,178.07 / $1,178.07 / $1,178.07	Facility		$1,178.07	$1,178.07	$1,178.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $986.07 / $1,380.60 / $2,074.67	Professional		$986.07	$1,380.60	$2,074.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,965.30	Facility		$55.00	$55.00	$5,965.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,447.06 / $8,447.06 / $8,955.08	Professional		$8,447.06	$8,447.06	$8,955.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,002.84 / $1,291.41 / $2,091.96	Facility		$1,002.84	$1,291.41	$2,091.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,280.51 / $1,536.62 / $1,905.40	Professional		$1,280.51	$1,536.62	$1,905.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.73 / $1,282.70 / $2,332.17	Professional		$1,065.73	$1,282.70	$2,332.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,003.18 / $1,295.39 / $2,106.73	Facility		$1,003.18	$1,295.39	$2,106.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.27 / $1,415.05 / $2,159.85	Professional		$1,000.27	$1,415.05	$2,159.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $811.21 / $1,081.60 / $1,734.77	Professional		$811.21	$1,081.60	$1,734.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $874.30 / $993.39 / $1,378.03	Professional		$874.30	$993.39	$1,378.03