Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.96 / $3,102.00 / $10,546.00	Facility		$839.96	$3,102.00	$10,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.26 / $1,113.86 / $1,483.75	Professional		$833.26	$1,113.86	$1,483.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.73 / $1,116.63 / $1,602.04	Professional		$810.73	$1,116.63	$1,602.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $760.32 / $760.32 / $760.32	Facility		$760.32	$760.32	$760.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $931.53 / $1,308.27 / $2,097.48	Professional		$931.53	$1,308.27	$2,097.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,979.36 / $26,542.00 / $26,542.00	Facility		$5,979.36	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,293.36 / $8,629.20 / $10,200.68	Professional		$6,293.36	$8,629.20	$10,200.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.36 / $1,212.46 / $2,296.87	Facility		$870.36	$1,212.46	$2,296.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,110.14 / $1,521.81 / $2,107.12	Professional		$1,110.14	$1,521.81	$2,107.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,145.59 / $1,145.59 / $1,145.59	Professional		$1,145.59	$1,145.59	$1,145.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.36 / $1,223.09 / $2,358.10	Facility		$870.36	$1,223.09	$2,358.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $943.81 / $1,382.20 / $2,286.12	Professional		$943.81	$1,382.20	$2,286.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $893.55 / $1,233.18 / $2,016.25	Professional		$893.55	$1,233.18	$2,016.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $999.09 / $1,128.16 / $1,580.40	Professional		$999.09	$1,128.16	$1,580.40