Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,504.00 / $10,836.00	Facility		$969.00	$3,504.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $971.52 / $1,092.79 / $1,622.03	Professional		$971.52	$1,092.79	$1,622.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $976.65 / $1,236.52 / $1,722.30	Professional		$976.65	$1,236.52	$1,722.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $982.32 / $982.32 / $1,014.71	Facility		$982.32	$982.32	$1,014.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,010.71 / $1,403.38 / $2,161.13	Professional		$1,010.71	$1,403.38	$2,161.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,574.48	Facility		$55.00	$55.00	$9,574.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,495.28 / $7,675.60 / $9,149.62	Professional		$7,495.28	$7,675.60	$9,149.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,012.43 / $1,256.94 / $2,213.42	Facility		$1,012.43	$1,256.94	$2,213.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,190.72 / $1,584.18 / $1,863.74	Professional		$1,190.72	$1,584.18	$1,863.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,392.00 / $2,697.10	Professional		$7.00	$1,392.00	$2,697.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,015.28 / $1,274.68 / $2,394.64	Facility		$1,015.28	$1,274.68	$2,394.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,055.66 / $1,466.43 / $2,646.04	Professional		$1,055.66	$1,466.43	$2,646.04
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $845.74 / $1,135.49 / $1,815.40	Professional		$845.74	$1,135.49	$1,815.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $883.69 / $1,027.24 / $1,386.63	Professional		$883.69	$1,027.24	$1,386.63