Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.73 / $3,596.00 / $10,836.00	Facility		$946.73	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.73 / $1,093.40 / $1,323.88	Professional		$946.73	$1,093.40	$1,323.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $881.94 / $1,124.00 / $1,544.63	Professional		$881.94	$1,124.00	$1,544.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $884.24 / $884.24 / $884.24	Facility		$884.24	$884.24	$884.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.66 / $1,363.78 / $2,150.48	Professional		$1,013.66	$1,363.78	$2,150.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,901.56	Facility		$55.00	$55.00	$11,901.56
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 $1,010.74 / $1,353.82 / $2,327.00	Facility		$1,010.74	$1,353.82	$2,327.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,222.83 / $1,410.96 / $1,646.12	Professional		$1,222.83	$1,410.96	$1,646.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,563.00 / $1,563.00 / $1,563.00	Professional		$1,563.00	$1,563.00	$1,563.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,010.74 / $1,396.49 / $2,475.62	Facility		$1,010.74	$1,396.49	$2,475.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,012.70 / $1,388.16 / $2,353.63	Professional		$1,012.70	$1,388.16	$2,353.63
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 $828.04 / $1,086.80 / $1,759.59	Professional		$828.04	$1,086.80	$1,759.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $802.81 / $921.51 / $1,255.15	Professional		$802.81	$921.51	$1,255.15