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 $1,007.32 / $1,174.41 / $1,568.25	Professional		$1,007.32	$1,174.41	$1,568.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,098.11 / $1,847.25 / $8,982.00	Facility		$1,098.11	$1,847.25	$8,982.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $986.19 / $1,074.90 / $1,448.16	Professional		$986.19	$1,074.90	$1,448.16
Christus Facility/Professional Facility Modifier Low / Median / High Price $967.06 / $967.06 / $967.06	Facility		$967.06	$967.06	$967.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.34 / $1,472.65 / $2,228.52	Professional		$1,111.34	$1,472.65	$2,228.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,725.64	Facility		$55.00	$55.00	$8,725.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,962.24 / $8,139.92 / $9,085.58	Professional		$7,962.24	$8,139.92	$9,085.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.11 / $1,402.03 / $2,419.67	Facility		$1,071.11	$1,402.03	$2,419.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,168.13 / $1,624.77 / $1,911.49	Professional		$1,168.13	$1,624.77	$1,911.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,538.20 / $1,538.20 / $1,538.20	Professional		$1,538.20	$1,538.20	$1,538.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.11 / $1,410.25 / $2,768.23	Facility		$1,071.11	$1,410.25	$2,768.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,118.22 / $1,486.48 / $2,299.48	Professional		$1,118.22	$1,486.48	$2,299.48
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 $912.92 / $1,255.27 / $1,992.45	Professional		$912.92	$1,255.27	$1,992.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $906.33 / $1,037.90 / $1,433.54	Professional		$906.33	$1,037.90	$1,433.54