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 $970.84 / $1,107.68 / $1,323.73	Professional		$970.84	$1,107.68	$1,323.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $899.08 / $1,138.02 / $1,585.52	Professional		$899.08	$1,138.02	$1,585.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $943.20 / $943.20 / $943.20	Facility		$943.20	$943.20	$943.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.66 / $1,318.38 / $2,063.85	Professional		$1,012.66	$1,318.38	$2,063.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,643.04	Facility		$55.00	$55.00	$17,643.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,934.08 / $7,090.72 / $8,377.12	Professional		$6,934.08	$7,090.72	$8,377.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,010.37 / $1,262.51 / $2,202.69	Facility		$1,010.37	$1,262.51	$2,202.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,238.81 / $1,429.40 / $1,667.63	Professional		$1,238.81	$1,429.40	$1,667.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,333.80 / $1,333.80 / $1,333.80	Professional		$1,333.80	$1,333.80	$1,333.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,010.37 / $1,279.39 / $2,506.51	Facility		$1,010.37	$1,279.39	$2,506.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $961.14 / $1,358.02 / $2,197.69	Professional		$961.14	$1,358.02	$2,197.69
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 $827.46 / $1,086.05 / $1,729.41	Professional		$827.46	$1,086.05	$1,729.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $813.30 / $929.37 / $1,276.45	Professional		$813.30	$929.37	$1,276.45