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 $1,052.59 / $1,216.56 / $1,454.48	Professional		$1,052.59	$1,216.56	$1,454.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $988.96 / $1,251.79 / $1,744.02	Professional		$988.96	$1,251.79	$1,744.02
Christus Facility/Professional Facility Modifier Low / Median / High Price $984.33 / $984.33 / $984.33	Facility		$984.33	$984.33	$984.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,129.33 / $1,479.85 / $2,307.38	Professional		$1,129.33	$1,479.85	$2,307.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,836.72	Facility		$55.00	$55.00	$10,836.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,728.00 / $9,728.00 / $9,728.00	Professional		$9,728.00	$9,728.00	$9,728.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,099.75 / $1,395.63 / $2,456.79	Facility		$1,099.75	$1,395.63	$2,456.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,361.59 / $1,571.07 / $1,832.92	Professional		$1,361.59	$1,571.07	$1,832.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,460.20 / $1,460.20 / $1,460.20	Professional		$1,460.20	$1,460.20	$1,460.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,099.75 / $1,402.09 / $2,756.22	Facility		$1,099.75	$1,402.09	$2,756.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,129.07 / $1,513.33 / $2,654.51	Professional		$1,129.07	$1,513.33	$2,654.51
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 $924.47 / $1,217.56 / $1,964.50	Professional		$924.47	$1,217.56	$1,964.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $893.91 / $1,026.67 / $1,397.07	Professional		$893.91	$1,026.67	$1,397.07