Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.35 / $3,596.00 / $10,836.00	Facility		$958.35	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.35 / $1,095.93 / $1,313.40	Professional		$958.35	$1,095.93	$1,313.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $892.62 / $1,129.83 / $1,574.12	Professional		$892.62	$1,129.83	$1,574.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $915.21 / $915.21 / $915.21	Facility		$915.21	$915.21	$915.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.78 / $1,322.15 / $2,064.66	Professional		$1,011.78	$1,322.15	$2,064.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,483.68	Facility		$55.00	$55.00	$17,483.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,886.00 / $9,886.00 / $9,886.00	Professional		$9,886.00	$9,886.00	$9,886.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,011.78 / $1,248.03 / $2,188.17	Facility		$1,011.78	$1,248.03	$2,188.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,231.24 / $1,420.67 / $1,657.44	Professional		$1,231.24	$1,420.67	$1,657.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $910.67 / $1,011.78 / $1,640.54	Professional		$910.67	$1,011.78	$1,640.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,011.78 / $1,254.32 / $2,488.48	Facility		$1,011.78	$1,254.32	$2,488.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,011.78 / $1,352.26 / $2,192.17	Professional		$1,011.78	$1,352.26	$2,192.17
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 $824.29 / $1,083.77 / $1,751.61	Professional		$824.29	$1,083.77	$1,751.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $808.33 / $924.25 / $1,266.49	Professional		$808.33	$924.25	$1,266.49