Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.92 / $3,596.00 / $10,836.00	Facility		$941.92	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.45 / $1,076.16 / $1,284.72	Professional		$906.45	$1,076.16	$1,284.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $991.16 / $1,681.97 / $8,365.78	Facility		$991.16	$1,681.97	$8,365.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $877.23 / $1,110.35 / $1,546.98	Professional		$877.23	$1,110.35	$1,546.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $903.63 / $903.63 / $903.63	Facility		$903.63	$903.63	$903.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.70 / $1,325.97 / $2,178.30	Professional		$993.70	$1,325.97	$2,178.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,199.04	Facility		$55.00	$55.00	$17,199.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,523.00 / $11,743.32 / $11,743.32	Professional		$8,523.00	$11,743.32	$11,743.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $993.70 / $1,271.28 / $2,146.16	Facility		$993.70	$1,271.28	$2,146.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,210.64 / $1,396.89 / $1,676.27	Professional		$1,210.64	$1,396.89	$1,676.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,906.00 / $1,906.00 / $1,906.00	Professional		$1,906.00	$1,906.00	$1,906.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $993.70 / $1,291.81 / $2,445.59	Facility		$993.70	$1,291.81	$2,445.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $993.70 / $1,334.60 / $2,226.71	Professional		$993.70	$1,334.60	$2,226.71
United Facility/Professional Facility Modifier Low / Median / High Price $5,442.00 / $9,916.00 / $25,304.00	Facility		$5,442.00	$9,916.00	$25,304.00
United Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $1,100.85 / $1,690.51	Professional		$808.12	$1,100.85	$1,690.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.80 / $908.27 / $1,245.70	Professional		$794.80	$908.27	$1,245.70