Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.07 / $3,766.00 / $13,004.00	Facility		$1,006.07	$3,766.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $990.95 / $1,092.77 / $1,622.68	Professional		$990.95	$1,092.77	$1,622.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.23 / $1,785.22 / $6,421.91	Facility		$1,051.23	$1,785.22	$6,421.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $934.22 / $1,190.61 / $1,658.80	Professional		$934.22	$1,190.61	$1,658.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $916.01 / $916.01 / $916.01	Facility		$916.01	$916.01	$916.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,059.20 / $1,397.47 / $2,158.38	Professional		$1,059.20	$1,397.47	$2,158.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,265.53	Facility		$55.00	$55.00	$8,265.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,605.43 / $9,256.39 / $9,561.85	Professional		$8,605.43	$9,256.39	$9,561.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,022.55 / $1,358.40 / $2,321.89	Facility		$1,022.55	$1,358.40	$2,321.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,106.58 / $1,539.15 / $1,810.76	Professional		$1,106.58	$1,539.15	$1,810.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,505.90 / $1,505.90 / $1,505.90	Professional		$1,505.90	$1,505.90	$1,505.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,022.55 / $1,379.07 / $2,458.73	Facility		$1,022.55	$1,379.07	$2,458.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,059.20 / $1,423.99 / $2,347.87	Professional		$1,059.20	$1,423.99	$2,347.87
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 $869.62 / $1,195.72 / $1,847.93	Professional		$869.62	$1,195.72	$1,847.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $858.57 / $983.44 / $1,357.92	Professional		$858.57	$983.44	$1,357.92