Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,596.00 / $10,893.00	Facility		$895.00	$3,596.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.17 / $965.17 / $1,503.95	Professional		$832.17	$965.17	$1,503.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.38 / $1,285.95 / $2,009.95	Professional		$830.38	$1,285.95	$2,009.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $991.26 / $991.26 / $991.26	Facility		$991.26	$991.26	$991.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.18 / $1,360.24 / $2,037.49	Professional		$1,058.18	$1,360.24	$2,037.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,761.12	Facility		$55.00	$55.00	$13,761.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,186.74 / $9,186.74 / $9,186.74	Professional		$9,186.74	$9,186.74	$9,186.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $930.78 / $1,206.81 / $2,362.03	Facility		$930.78	$1,206.81	$2,362.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,104.44 / $1,536.18 / $1,807.27	Professional		$1,104.44	$1,536.18	$1,807.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,130.70 / $1,130.70 / $1,130.70	Professional		$1,130.70	$1,130.70	$1,130.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $930.78 / $1,217.10 / $2,397.96	Facility		$930.78	$1,217.10	$2,397.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,062.24 / $1,384.20 / $2,057.17	Professional		$1,062.24	$1,384.20	$2,057.17
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 $792.77 / $1,092.48 / $1,761.36	Professional		$792.77	$1,092.48	$1,761.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $856.92 / $970.29 / $1,336.58	Professional		$856.92	$970.29	$1,336.58