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 $993.24 / $1,128.89 / $1,355.48	Professional		$993.24	$1,128.89	$1,355.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $924.63 / $1,170.35 / $1,630.57	Professional		$924.63	$1,170.35	$1,630.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $951.15 / $951.15 / $951.15	Facility		$951.15	$951.15	$951.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.63 / $1,408.56 / $2,214.23	Professional		$1,047.63	$1,408.56	$2,214.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $18,121.91	Facility		$55.00	$55.00	$18,121.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,227.00 / $10,227.00 / $10,227.00	Professional		$10,227.00	$10,227.00	$10,227.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.63 / $1,350.21 / $2,341.16	Facility		$1,047.63	$1,350.21	$2,341.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.81 / $1,472.09 / $1,766.50	Professional		$1,275.81	$1,472.09	$1,766.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,951.30 / $1,951.30 / $1,951.30	Professional		$1,951.30	$1,951.30	$1,951.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.63 / $1,359.40 / $2,577.73	Facility		$1,047.63	$1,359.40	$2,577.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.63 / $1,419.25 / $2,214.23	Professional		$1,047.63	$1,419.25	$2,214.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $20,955.00	Facility		$4,409.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $852.00 / $1,127.29 / $1,810.50	Professional		$852.00	$1,127.29	$1,810.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $837.59 / $957.38 / $1,312.61	Professional		$837.59	$957.38	$1,312.61