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 $977.24 / $1,129.41 / $1,384.93	Professional		$977.24	$1,129.41	$1,384.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.29 / $1,157.82 / $1,618.09	Professional		$911.29	$1,157.82	$1,618.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $913.43 / $913.43 / $913.43	Facility		$913.43	$913.43	$913.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.91 / $1,421.35 / $2,266.79	Professional		$1,046.91	$1,421.35	$2,266.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,049.40	Facility		$55.00	$55.00	$10,049.40
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 $1,043.05 / $1,362.69 / $2,578.94	Facility		$1,043.05	$1,362.69	$2,578.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.34 / $1,456.56 / $1,699.32	Professional		$1,262.34	$1,456.56	$1,699.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,324.40 / $1,324.40 / $1,324.40	Professional		$1,324.40	$1,324.40	$1,324.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,043.05 / $1,403.81 / $2,612.67	Facility		$1,043.05	$1,403.81	$2,612.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,046.27 / $1,439.38 / $2,467.98	Professional		$1,046.27	$1,439.38	$2,467.98
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 $867.07 / $1,177.85 / $1,820.72	Professional		$867.07	$1,177.85	$1,820.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $828.75 / $951.74 / $1,295.45	Professional		$828.75	$951.74	$1,295.45