Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.27 / $3,682.00 / $13,004.00	Facility		$924.27	$3,682.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.27 / $1,067.39 / $1,275.71	Professional		$924.27	$1,067.39	$1,275.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.67 / $4,461.76 / $8,286.12	Facility		$2,517.67	$4,461.76	$8,286.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $867.07 / $1,097.50 / $1,529.07	Professional		$867.07	$1,097.50	$1,529.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $862.94 / $862.94 / $862.94	Facility		$862.94	$862.94	$862.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.25 / $1,294.06 / $2,215.86	Professional		$988.25	$1,294.06	$2,215.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,984.00	Facility		$55.00	$55.00	$7,984.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,411.80 / $7,411.80 / $8,117.10	Professional		$7,411.80	$7,411.80	$8,117.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $986.45 / $1,290.64 / $2,402.50	Facility		$986.45	$1,290.64	$2,402.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,193.39 / $1,376.99 / $1,652.38	Professional		$1,193.39	$1,376.99	$1,652.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $987.80 / $1,034.24 / $1,092.50	Professional		$987.80	$1,034.24	$1,092.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $986.45 / $1,323.86 / $2,557.50	Facility		$986.45	$1,323.86	$2,557.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $988.25 / $1,352.73 / $2,335.64	Professional		$988.25	$1,352.73	$2,335.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $826.81 / $1,108.00 / $1,763.92	Professional		$826.81	$1,108.00	$1,763.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $783.48 / $899.34 / $1,224.98	Professional		$783.48	$899.34	$1,224.98