Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $4,028.00 / $11,210.00	Facility		$1,051.00	$4,028.00	$11,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.84 / $1,022.11 / $1,423.32	Professional		$923.84	$1,022.11	$1,423.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,162.10 / $7,341.00 / $14,501.13	Facility		$4,162.10	$7,341.00	$14,501.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $872.47 / $1,116.20 / $1,923.94	Professional		$872.47	$1,116.20	$1,923.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $853.49 / $853.49 / $853.49	Facility		$853.49	$853.49	$853.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.78 / $1,301.25 / $1,980.69	Professional		$988.78	$1,301.25	$1,980.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $13,486.75	Facility		$55.00	$10,160.00	$13,486.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,025.38 / $15,405.68 / $15,405.68	Professional		$8,025.38	$15,405.68	$15,405.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $956.14 / $1,288.16 / $2,151.50	Facility		$956.14	$1,288.16	$2,151.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.31 / $1,436.21 / $1,689.66	Professional		$1,220.31	$1,436.21	$1,689.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,327.30 / $1,327.30 / $1,327.30	Professional		$1,327.30	$1,327.30	$1,327.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $956.14 / $1,288.16 / $2,299.75	Facility		$956.14	$1,288.16	$2,299.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $988.78 / $1,324.64 / $2,037.87	Professional		$988.78	$1,324.64	$2,037.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,350.00 / $16,000.00	Facility		$2,608.00	$7,350.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $810.43 / $1,114.33 / $1,715.49	Professional		$810.43	$1,114.33	$1,715.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $801.15 / $918.27 / $1,266.99	Professional		$801.15	$918.27	$1,266.99