Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,570.00 / $12,377.00	Facility		$935.00	$3,570.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.74 / $873.61 / $1,380.61	Professional		$742.74	$873.61	$1,380.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.74 / $1,021.14 / $1,389.14	Professional		$806.74	$1,021.14	$1,389.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $813.40 / $816.95	Facility		$80.00	$813.40	$816.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $976.05 / $976.05 / $976.05	Facility		$976.05	$976.05	$976.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.58 / $1,094.96 / $1,662.15	Professional		$825.58	$1,094.96	$1,662.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,437.59	Facility		$55.00	$55.00	$4,437.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,207.60 / $6,399.12 / $7,395.00	Professional		$6,207.60	$6,399.12	$7,395.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $814.54 / $1,022.43 / $1,543.52	Facility		$814.54	$1,022.43	$1,543.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,056.93 / $1,268.31 / $1,572.70	Professional		$1,056.93	$1,268.31	$1,572.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,425.44 / $1,655.84 / $3,220.42	Professional		$1,425.44	$1,655.84	$3,220.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $816.96 / $1,029.17 / $1,578.92	Facility		$816.96	$1,029.17	$1,578.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $835.86 / $1,131.44 / $1,718.47	Professional		$835.86	$1,131.44	$1,718.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $649.61 / $879.05 / $1,365.59	Professional		$649.61	$879.05	$1,365.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $721.64 / $814.54 / $1,140.39	Professional		$721.64	$814.54	$1,140.39