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 $906.97 / $1,047.10 / $1,251.44	Professional		$906.97	$1,047.10	$1,251.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $844.95 / $1,073.54 / $1,479.85	Professional		$844.95	$1,073.54	$1,479.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $846.50 / $846.50 / $846.50	Facility		$846.50	$846.50	$846.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.02 / $1,297.65 / $2,174.48	Professional		$970.02	$1,297.65	$2,174.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,392.15	Facility		$55.00	$55.00	$11,392.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,151.00 / $10,151.00 / $10,151.00	Professional		$10,151.00	$10,151.00	$10,151.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $967.47 / $1,296.97 / $2,311.19	Facility		$967.47	$1,296.97	$2,311.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,170.26 / $1,350.30 / $1,575.35	Professional		$1,170.26	$1,350.30	$1,575.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,644.00 / $1,644.00 / $1,644.00	Professional		$1,644.00	$1,644.00	$1,644.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $967.47 / $1,336.56 / $2,371.79	Facility		$967.47	$1,336.56	$2,371.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $968.81 / $1,333.48 / $2,267.21	Professional		$968.81	$1,333.48	$2,267.21
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 $792.53 / $1,059.58 / $1,684.12	Professional		$792.53	$1,059.58	$1,684.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $768.29 / $881.84 / $1,201.33	Professional		$768.29	$881.84	$1,201.33