Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $2,236.00 / $7,513.00	Facility		$632.00	$2,236.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.72 / $757.93 / $1,173.45	Professional		$657.72	$757.93	$1,173.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.55 / $871.54 / $1,187.61	Professional		$688.55	$871.54	$1,187.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $635.85 / $658.53	Facility		$80.00	$635.85	$658.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.80 / $852.80 / $852.80	Facility		$852.80	$852.80	$852.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.03 / $958.48 / $1,481.84	Professional		$735.03	$958.48	$1,481.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $3,626.20	Facility		$55.00	$2,000.00	$3,626.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,340.48 / $5,459.28 / $6,372.38	Professional		$5,340.48	$5,459.28	$6,372.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $663.33 / $817.86 / $1,540.00	Facility		$663.33	$817.86	$1,540.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $911.36 / $1,093.64 / $1,356.11	Professional		$911.36	$1,093.64	$1,356.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $773.22 / $1,257.80 / $2,577.29	Professional		$773.22	$1,257.80	$2,577.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $663.33 / $833.60 / $1,568.60	Facility		$663.33	$833.60	$1,568.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $735.64 / $1,001.92 / $1,512.14	Professional		$735.64	$1,001.92	$1,512.14
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.04 / $772.45 / $1,238.75	Professional		$588.04	$772.45	$1,238.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $622.26 / $711.18 / $978.39	Professional		$622.26	$711.18	$978.39