Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,601.00 / $12,826.00	Facility		$916.00	$3,601.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.92 / $907.25 / $1,538.24	Professional		$794.92	$907.25	$1,538.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $893.58 / $1,555.41 / $10,591.61	Facility		$893.58	$1,555.41	$10,591.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $828.91 / $1,049.19 / $1,429.71	Professional		$828.91	$1,049.19	$1,429.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $809.49 / $825.51	Facility		$80.00	$809.49	$825.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,048.16 / $1,733.29 / $4,219.22	Professional		$1,048.16	$1,733.29	$4,219.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,225.26	Facility		$55.00	$55.00	$7,225.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,498.96 / $6,626.80 / $7,748.93	Professional		$6,498.96	$6,626.80	$7,748.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $866.77 / $1,117.16 / $1,727.12	Facility		$866.77	$1,117.16	$1,727.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,107.85 / $1,329.44 / $1,648.50	Professional		$1,107.85	$1,329.44	$1,648.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $953.70 / $1,031.22 / $1,179.00	Professional		$953.70	$1,031.22	$1,179.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $866.77 / $1,117.16 / $1,781.64	Facility		$866.77	$1,117.16	$1,781.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $859.35 / $1,699.64 / $2,009.84	Professional		$859.35	$1,699.64	$2,009.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $7,918.00 / $16,194.00	Facility		$2,614.00	$7,918.00	$16,194.00
United Facility/Professional Professional Modifier Low / Median / High Price $699.69 / $932.92 / $1,504.80	Professional		$699.69	$932.92	$1,504.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $756.42 / $859.35 / $1,192.23	Professional		$756.42	$859.35	$1,192.23