Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.26 / $3,766.00 / $13,004.00	Facility		$1,052.26	$3,766.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,048.24 / $1,142.86 / $1,593.97	Professional		$1,048.24	$1,142.86	$1,593.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,079.43 / $1,820.19 / $5,240.13	Facility		$1,079.43	$1,820.19	$5,240.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $976.71 / $1,023.36 / $1,180.23	Professional		$976.71	$1,023.36	$1,180.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $958.75 / $958.75 / $958.75	Facility		$958.75	$958.75	$958.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.61 / $1,458.04 / $2,256.87	Professional		$1,107.61	$1,458.04	$2,256.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,645.70	Facility		$55.00	$55.00	$8,645.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,018.90 / $10,018.90 / $10,138.48	Professional		$10,018.90	$10,018.90	$10,138.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,069.21 / $1,431.48 / $2,841.22	Facility		$1,069.21	$1,431.48	$2,841.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,157.45 / $1,609.91 / $1,894.01	Professional		$1,157.45	$1,609.91	$1,894.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,526.00 / $1,526.00 / $1,526.00	Professional		$1,526.00	$1,526.00	$1,526.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,069.21 / $1,432.57 / $2,887.50	Facility		$1,069.21	$1,432.57	$2,887.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,116.14 / $1,482.16 / $2,428.27	Professional		$1,116.14	$1,482.16	$2,428.27
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 $903.68 / $1,242.56 / $1,920.32	Professional		$903.68	$1,242.56	$1,920.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $898.05 / $1,028.36 / $1,420.43	Professional		$898.05	$1,028.36	$1,420.43