Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.61 / $3,596.00 / $10,836.00	Facility		$955.61	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.61 / $1,103.02 / $1,342.20	Professional		$955.61	$1,103.02	$1,342.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $889.59 / $1,035.38 / $1,544.92	Professional		$889.59	$1,035.38	$1,544.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $891.58 / $891.58 / $891.58	Facility		$891.58	$891.58	$891.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.09 / $1,373.37 / $2,390.31	Professional		$1,022.09	$1,373.37	$2,390.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,006.61	Facility		$55.00	$55.00	$12,006.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,338.08 / $8,338.08 / $8,388.60	Professional		$8,338.08	$8,338.08	$8,388.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,019.69 / $1,342.20 / $2,712.40	Facility		$1,019.69	$1,342.20	$2,712.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,233.33 / $1,423.08 / $1,660.26	Professional		$1,233.33	$1,423.08	$1,660.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,504.00 / $1,504.00 / $1,504.00	Professional		$1,504.00	$1,504.00	$1,504.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,019.69 / $1,353.98 / $2,712.40	Facility		$1,019.69	$1,353.98	$2,712.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,020.81 / $1,407.91 / $2,433.04	Professional		$1,020.81	$1,407.91	$2,433.04
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,547.00 / $9,000.00	Facility		$495.00	$2,547.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $856.89 / $1,133.46 / $1,771.86	Professional		$856.89	$1,133.46	$1,771.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $809.70 / $929.17 / $1,266.15	Professional		$809.70	$929.17	$1,266.15