Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.58 / $3,596.00 / $10,836.00	Facility		$858.58	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.49 / $876.10 / $1,370.32	Professional		$770.49	$876.10	$1,370.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.88 / $1,103.68 / $1,673.45	Professional		$765.88	$1,103.68	$1,673.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $916.37 / $916.37 / $916.37	Facility		$916.37	$916.37	$916.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.06 / $1,258.81 / $1,886.25	Professional		$969.06	$1,258.81	$1,886.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,670.12	Facility		$55.00	$55.00	$11,670.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,993.06 / $8,256.83 / $8,421.37	Professional		$7,993.06	$8,256.83	$8,421.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $858.58 / $1,127.54 / $2,186.96	Facility		$858.58	$1,127.54	$2,186.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,021.89 / $1,421.35 / $1,672.18	Professional		$1,021.89	$1,421.35	$1,672.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,163.70 / $1,163.70 / $1,163.70	Professional		$1,163.70	$1,163.70	$1,163.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $858.58 / $1,142.34 / $2,186.96	Facility		$858.58	$1,142.34	$2,186.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $978.31 / $1,278.27 / $1,900.62	Professional		$978.31	$1,278.27	$1,900.62
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 $733.31 / $1,011.01 / $1,629.94	Professional		$733.31	$1,011.01	$1,629.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $792.87 / $897.77 / $1,236.59	Professional		$792.87	$897.77	$1,236.59