Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,682.00 / $12,826.00	Facility		$935.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.93 / $1,017.96 / $1,718.04	Professional		$891.93	$1,017.96	$1,718.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $926.79 / $1,173.08 / $1,598.54	Professional		$926.79	$1,173.08	$1,598.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $902.97 / $921.18	Facility		$80.00	$902.97	$921.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,138.27 / $1,138.27 / $1,138.27	Facility		$1,138.27	$1,138.27	$1,138.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.42 / $1,335.69 / $2,051.30	Professional		$994.42	$1,335.69	$2,051.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,703.00 / $26,542.00 / $37,623.85	Facility		$4,703.00	$26,542.00	$37,623.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,258.48 / $7,402.16 / $8,653.28	Professional		$7,258.48	$7,402.16	$8,653.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $979.00 / $1,273.29 / $2,020.88	Facility		$979.00	$1,273.29	$2,020.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,237.25 / $1,484.70 / $1,841.03	Professional		$1,237.25	$1,484.70	$1,841.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.20 / $1,258.20 / $1,258.20	Professional		$1,258.20	$1,258.20	$1,258.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $979.00 / $1,274.60 / $2,062.48	Facility		$979.00	$1,274.60	$2,062.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.94 / $1,389.41 / $2,087.30	Professional		$1,023.94	$1,389.41	$2,087.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $794.64 / $1,073.88 / $1,708.34	Professional		$794.64	$1,073.88	$1,708.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $844.76 / $959.80 / $1,331.45	Professional		$844.76	$959.80	$1,331.45