Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.28 / $3,596.00 / $10,836.00	Facility		$948.28	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.28 / $1,094.40 / $1,309.58	Professional		$948.28	$1,094.40	$1,309.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $884.08 / $1,126.72 / $1,535.36	Professional		$884.08	$1,126.72	$1,535.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $886.02 / $886.02 / $886.02	Facility		$886.02	$886.02	$886.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,015.82 / $1,354.09 / $2,099.69	Professional		$1,015.82	$1,354.09	$2,099.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,856.55	Facility		$55.00	$55.00	$13,856.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,805.92 / $6,973.28 / $8,339.18	Professional		$6,805.92	$6,973.28	$8,339.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,013.29 / $1,312.63 / $2,179.78	Facility		$1,013.29	$1,312.63	$2,179.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,225.77 / $1,414.35 / $1,697.22	Professional		$1,225.77	$1,414.35	$1,697.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $982.48 / $1,473.71 / $2,109.38	Professional		$982.48	$1,473.71	$2,109.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,013.29 / $1,325.50 / $2,479.91	Facility		$1,013.29	$1,325.50	$2,479.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,014.80 / $1,378.89 / $2,364.32	Professional		$1,014.80	$1,378.89	$2,364.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,358.00 / $16,000.00	Facility		$2,608.00	$7,358.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $828.90 / $1,087.94 / $1,794.08	Professional		$828.90	$1,087.94	$1,794.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $804.74 / $923.48 / $1,258.27	Professional		$804.74	$923.48	$1,258.27