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 / $12,040.00	Facility		$969.00	$3,596.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.34 / $1,174.14 / $1,538.17	Professional		$1,028.34	$1,174.14	$1,538.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,067.60 / $1,783.02 / $5,844.35	Facility		$1,067.60	$1,783.02	$5,844.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $962.65 / $1,226.84 / $1,709.28	Professional		$962.65	$1,226.84	$1,709.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $994.57 / $994.57 / $994.57	Facility		$994.57	$994.57	$994.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.04 / $1,411.26 / $2,191.48	Professional		$1,096.04	$1,411.26	$2,191.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $18,967.36	Facility		$55.00	$55.00	$18,967.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,631.00 / $9,631.00 / $9,631.00	Professional		$9,631.00	$9,631.00	$9,631.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,088.76 / $1,338.69 / $2,333.34	Facility		$1,088.76	$1,338.69	$2,333.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,335.10 / $1,540.50 / $1,797.25	Professional		$1,335.10	$1,540.50	$1,797.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $989.31 / $1,096.04 / $1,774.80	Professional		$989.31	$1,096.04	$1,774.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,088.76 / $1,379.72 / $2,702.16	Facility		$1,088.76	$1,379.72	$2,702.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.04 / $1,452.59 / $2,364.73	Professional		$1,096.04	$1,452.59	$2,364.73
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 $879.14 / $1,155.66 / $1,845.71	Professional		$879.14	$1,155.66	$1,845.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $876.51 / $1,001.89 / $1,373.73	Professional		$876.51	$1,001.89	$1,373.73