Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,682.00 / $12,377.00	Facility		$923.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.73 / $918.19 / $1,549.19	Professional		$800.73	$918.19	$1,549.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.98 / $1,058.15 / $1,441.92	Professional		$835.98	$1,058.15	$1,441.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $818.81 / $833.89	Facility		$80.00	$818.81	$833.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,027.05 / $1,027.05 / $1,027.05	Facility		$1,027.05	$1,027.05	$1,027.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.21 / $1,201.90 / $1,803.71	Professional		$872.21	$1,201.90	$1,803.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,938.59 / $11,500.00 / $26,542.00	Facility		$5,938.59	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,551.12 / $6,684.16 / $7,806.83	Professional		$6,551.12	$6,684.16	$7,806.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $873.29 / $1,119.10 / $1,702.69	Facility		$873.29	$1,119.10	$1,702.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.35 / $1,339.64 / $1,661.15	Professional		$1,116.35	$1,339.64	$1,661.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,152.30 / $1,152.30 / $1,152.30	Professional		$1,152.30	$1,152.30	$1,152.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $874.47 / $1,119.10 / $1,800.00	Facility		$874.47	$1,119.10	$1,800.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $901.70 / $1,237.24 / $1,873.11	Professional		$901.70	$1,237.24	$1,873.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $702.50 / $961.30 / $1,507.10	Professional		$702.50	$961.30	$1,507.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $762.23 / $865.47 / $1,201.72	Professional		$762.23	$865.47	$1,201.72