Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,596.00 / $10,836.00	Facility		$921.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.68 / $1,047.88 / $1,268.60	Professional		$907.68	$1,047.88	$1,268.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $845.57 / $984.14 / $1,468.47	Professional		$845.57	$984.14	$1,468.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $847.48 / $847.48 / $847.48	Facility		$847.48	$847.48	$847.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.40 / $1,313.12 / $2,187.39	Professional		$971.40	$1,313.12	$2,187.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,408.10	Facility		$55.00	$55.00	$11,408.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,574.00 / $10,574.00 / $10,574.00	Professional		$10,574.00	$10,574.00	$10,574.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $968.84 / $1,298.02 / $2,576.36	Facility		$968.84	$1,298.02	$2,576.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,171.95 / $1,352.25 / $1,577.63	Professional		$1,171.95	$1,352.25	$1,577.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,496.10 / $1,496.10 / $1,496.10	Professional		$1,496.10	$1,496.10	$1,496.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $968.84 / $1,319.76 / $2,576.36	Facility		$968.84	$1,319.76	$2,576.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $970.25 / $1,347.72 / $2,326.16	Professional		$970.25	$1,347.72	$2,326.16
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 $808.28 / $1,077.71 / $1,685.96	Professional		$808.28	$1,077.71	$1,685.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $769.40 / $883.09 / $1,203.04	Professional		$769.40	$883.09	$1,203.04