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 $976.63 / $1,114.46 / $1,336.91	Professional		$976.63	$1,114.46	$1,336.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.63 / $1,155.16 / $1,609.40	Professional		$912.63	$1,155.16	$1,609.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $945.74 / $945.74 / $945.74	Facility		$945.74	$945.74	$945.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.65 / $1,339.43 / $2,096.12	Professional		$1,034.65	$1,339.43	$2,096.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,932.96	Facility		$55.00	$55.00	$17,932.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,563.65 / $11,892.55 / $11,892.55	Professional		$8,563.65	$11,892.55	$11,892.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,016.05 / $1,267.24 / $2,223.33	Facility		$1,016.05	$1,267.24	$2,223.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,261.52 / $1,455.60 / $1,698.20	Professional		$1,261.52	$1,455.60	$1,698.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,490.80 / $1,490.80 / $1,490.80	Professional		$1,490.80	$1,490.80	$1,490.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,016.05 / $1,276.39 / $2,544.27	Facility		$1,016.05	$1,276.39	$2,544.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,033.83 / $1,374.57 / $2,196.46	Professional		$1,033.83	$1,374.57	$2,196.46
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 $830.66 / $1,090.24 / $1,711.88	Professional		$830.66	$1,090.24	$1,711.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $828.21 / $945.74 / $1,298.60	Professional		$828.21	$945.74	$1,298.60