Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.77 / $3,682.00 / $12,281.00	Facility		$867.77	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.78 / $927.36 / $1,473.93	Professional		$776.78	$927.36	$1,473.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.51 / $882.75 / $1,174.06	Professional		$842.51	$882.75	$1,174.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $849.22 / $880.41	Facility		$80.00	$849.22	$880.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,050.24 / $1,050.24 / $1,050.24	Facility		$1,050.24	$1,050.24	$1,050.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $922.50 / $1,257.95 / $1,876.76	Professional		$922.50	$1,257.95	$1,876.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,324.64	Facility		$55.00	$55.00	$8,324.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,880.20 / $9,880.20 / $9,880.20	Professional		$9,880.20	$9,880.20	$9,880.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $858.91 / $1,073.15 / $2,002.82	Facility		$858.91	$1,073.15	$2,002.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,126.46 / $1,351.76 / $1,676.18	Professional		$1,126.46	$1,351.76	$1,676.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.56 / $1,039.72 / $1,105.80	Professional		$1,011.56	$1,039.72	$1,105.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $863.64 / $1,073.15 / $2,034.54	Facility		$863.64	$1,073.15	$2,034.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $934.49 / $1,292.29 / $1,894.75	Professional		$934.49	$1,292.29	$1,894.75
United Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $2,064.00 / $8,759.00	Facility		$432.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $725.94 / $967.92 / $1,529.31	Professional		$725.94	$967.92	$1,529.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $769.12 / $877.02 / $1,205.98	Professional		$769.12	$877.02	$1,205.98