Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,224.00 / $11,453.00	Facility		$803.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.90 / $928.91 / $1,572.35	Professional		$813.90	$928.91	$1,572.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.98 / $1,041.25 / $1,460.51	Professional		$840.98	$1,041.25	$1,460.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $833.86 / $848.59	Facility		$80.00	$833.86	$848.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.24 / $1,778.18 / $4,328.50	Professional		$949.24	$1,778.18	$4,328.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,305.95 / $26,542.00 / $29,433.60	Facility		$4,305.95	$26,542.00	$29,433.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,650.24 / $6,778.88 / $7,926.53	Professional		$6,650.24	$6,778.88	$7,926.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $878.41 / $1,111.98 / $1,762.54	Facility		$878.41	$1,111.98	$1,762.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,133.33 / $1,360.01 / $1,686.41	Professional		$1,133.33	$1,360.01	$1,686.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.18 / $1,096.00 / $2,066.58	Professional		$954.18	$1,096.00	$2,066.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $878.41 / $1,111.98 / $1,848.42	Facility		$878.41	$1,111.98	$1,848.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $878.41 / $1,736.46 / $2,055.71	Professional		$878.41	$1,736.46	$2,055.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $6,662.00 / $13,237.00	Facility		$2,211.00	$6,662.00	$13,237.00
United Facility/Professional Professional Modifier Low / Median / High Price $714.85 / $1,000.14 / $1,548.00	Professional		$714.85	$1,000.14	$1,548.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $773.82 / $878.41 / $1,220.08	Professional		$773.82	$878.41	$1,220.08