Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.91 / $3,596.00 / $10,836.00	Facility		$928.91	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.33 / $1,012.76 / $1,390.61	Professional		$907.33	$1,012.76	$1,390.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.54 / $1,105.69 / $1,540.47	Professional		$873.54	$1,105.69	$1,540.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $836.58 / $836.58 / $836.58	Facility		$836.58	$836.58	$836.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.36 / $1,278.65 / $1,989.44	Professional		$966.36	$1,278.65	$1,989.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,620.00	Facility		$55.00	$55.00	$8,620.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,882.00 / $7,034.40 / $7,855.20	Professional		$6,882.00	$7,034.40	$7,855.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $942.03 / $1,240.01 / $2,114.06	Facility		$942.03	$1,240.01	$2,114.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,009.79 / $1,404.52 / $1,652.38	Professional		$1,009.79	$1,404.52	$1,652.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,358.10 / $1,358.10 / $1,358.10	Professional		$1,358.10	$1,358.10	$1,358.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $942.03 / $1,258.41 / $2,278.71	Facility		$942.03	$1,258.41	$2,278.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $978.96 / $1,299.19 / $2,022.50	Professional		$978.96	$1,299.19	$2,022.50
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 $799.46 / $1,091.07 / $1,679.30	Professional		$799.46	$1,091.07	$1,679.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $783.48 / $897.17 / $1,239.21	Professional		$783.48	$897.17	$1,239.21