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 $982.36 / $1,134.54 / $1,356.06	Professional		$982.36	$1,134.54	$1,356.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.57 / $1,166.84 / $1,614.18	Professional		$915.57	$1,166.84	$1,614.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $917.11 / $917.11 / $917.11	Facility		$917.11	$917.11	$917.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,051.76 / $1,402.48 / $2,173.84	Professional		$1,051.76	$1,402.48	$2,173.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,346.84	Facility		$55.00	$55.00	$12,346.84
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 $1,048.54 / $1,399.05 / $2,341.25	Facility		$1,048.54	$1,399.05	$2,341.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,268.66 / $1,463.84 / $1,707.81	Professional		$1,268.66	$1,463.84	$1,707.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,564.20 / $1,564.20 / $1,564.20	Professional		$1,564.20	$1,564.20	$1,564.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,048.54 / $1,417.94 / $2,570.87	Facility		$1,048.54	$1,417.94	$2,570.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,050.83 / $1,422.62 / $2,450.12	Professional		$1,050.83	$1,422.62	$2,450.12
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 $859.51 / $1,128.10 / $1,826.46	Professional		$859.51	$1,128.10	$1,826.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $832.89 / $956.15 / $1,302.14	Professional		$832.89	$956.15	$1,302.14