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 $1,018.77 / $1,133.11 / $1,561.77	Professional		$1,018.77	$1,133.11	$1,561.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $995.73 / $1,260.35 / $1,755.96	Professional		$995.73	$1,260.35	$1,755.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $999.44 / $999.44 / $999.44	Facility		$999.44	$999.44	$999.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.91 / $1,430.37 / $2,107.82	Professional		$1,105.91	$1,430.37	$2,107.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,568.32	Facility		$55.00	$55.00	$19,568.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,661.36 / $7,830.64 / $9,356.18	Professional		$7,661.36	$7,830.64	$9,356.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,050.20 / $1,346.01 / $2,391.40	Facility		$1,050.20	$1,346.01	$2,391.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,164.57 / $1,619.81 / $1,905.66	Professional		$1,164.57	$1,619.81	$1,905.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,457.70 / $1,457.70 / $1,457.70	Professional		$1,457.70	$1,457.70	$1,457.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,050.20 / $1,365.26 / $2,602.67	Facility		$1,050.20	$1,365.26	$2,602.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,108.45 / $1,444.75 / $2,243.79	Professional		$1,108.45	$1,444.75	$2,243.79
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 $854.06 / $1,192.53 / $1,930.76	Professional		$854.06	$1,192.53	$1,930.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $903.57 / $1,029.94 / $1,417.20	Professional		$903.57	$1,029.94	$1,417.20