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 $987.63 / $1,078.86 / $1,486.92	Professional		$987.63	$1,078.86	$1,486.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $829.83 / $1,153.67 / $1,654.45	Professional		$829.83	$1,153.67	$1,654.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $887.56 / $887.56 / $887.56	Facility		$887.56	$887.56	$887.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.49 / $1,374.97 / $2,128.48	Professional		$1,046.49	$1,374.97	$2,128.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,093.12	Facility		$55.00	$55.00	$8,093.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,333.36 / $7,540.80 / $8,583.98	Professional		$7,333.36	$7,540.80	$8,583.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,008.39 / $1,327.65 / $2,224.09	Facility		$1,008.39	$1,327.65	$2,224.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.21 / $1,516.38 / $1,783.98	Professional		$1,090.21	$1,516.38	$1,783.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,395.88 / $1,707.08 / $1,759.03	Professional		$1,395.88	$1,707.08	$1,759.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,008.39 / $1,351.81 / $2,443.05	Facility		$1,008.39	$1,351.81	$2,443.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,046.49 / $1,409.81 / $2,177.16	Professional		$1,046.49	$1,409.81	$2,177.16
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 $847.13 / $1,164.14 / $1,829.52	Professional		$847.13	$1,164.14	$1,829.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $845.87 / $967.45 / $1,333.45	Professional		$845.87	$967.45	$1,333.45