Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,594.00 / $7,542.00	Facility		$803.00	$2,594.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $967.60 / $1,070.07 / $1,481.01	Professional		$967.60	$1,070.07	$1,481.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,736.12 / $2,923.06 / $5,821.21	Facility		$1,736.12	$2,923.06	$5,821.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $852.44 / $1,165.29 / $1,623.52	Professional		$852.44	$1,165.29	$1,623.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $900.47 / $900.47 / $900.47	Facility		$900.47	$900.47	$900.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.43 / $1,367.20 / $2,112.50	Professional		$1,038.43	$1,367.20	$2,112.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,257.12	Facility		$55.00	$55.00	$9,257.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,389.28 / $7,555.44 / $8,433.98	Professional		$7,389.28	$7,555.44	$8,433.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.81 / $1,279.83 / $2,238.61	Facility		$1,000.81	$1,279.83	$2,238.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,281.28 / $1,507.97 / $1,774.08	Professional		$1,281.28	$1,507.97	$1,774.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,443.40 / $1,443.40 / $1,443.40	Professional		$1,443.40	$1,443.40	$1,443.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.81 / $1,286.50 / $2,407.66	Facility		$1,000.81	$1,286.50	$2,407.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,038.43 / $1,391.75 / $2,189.59	Professional		$1,038.43	$1,391.75	$2,189.59
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 $844.21 / $1,160.79 / $1,793.94	Professional		$844.21	$1,160.79	$1,793.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $841.18 / $962.78 / $1,330.71	Professional		$841.18	$962.78	$1,330.71