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 $1,062.96 / $1,158.64 / $1,605.71	Professional		$1,062.96	$1,158.64	$1,605.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,101.84 / $1,850.94 / $5,333.55	Facility		$1,101.84	$1,850.94	$5,333.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $997.58 / $1,298.01 / $1,784.17	Professional		$997.58	$1,298.01	$1,784.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $970.51 / $970.51 / $970.51	Facility		$970.51	$970.51	$970.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,123.23 / $1,482.60 / $2,288.56	Professional		$1,123.23	$1,482.60	$2,288.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,014.32	Facility		$55.00	$55.00	$10,014.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,473.45 / $8,473.45 / $9,120.15	Professional		$8,473.45	$8,473.45	$9,120.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,084.22 / $1,441.39 / $2,437.26	Facility		$1,084.22	$1,441.39	$2,437.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.10 / $1,631.68 / $1,919.63	Professional		$1,173.10	$1,631.68	$1,919.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.64 / $1,826.64 / $1,881.83	Professional		$1,494.64	$1,826.64	$1,881.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,084.22 / $1,456.98 / $2,781.10	Facility		$1,084.22	$1,456.98	$2,781.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,123.23 / $1,507.72 / $2,495.67	Professional		$1,123.23	$1,507.72	$2,495.67
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 $895.57 / $1,264.40 / $1,954.07	Professional		$895.57	$1,264.40	$1,954.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $910.19 / $1,042.88 / $1,439.53	Professional		$910.19	$1,042.88	$1,439.53