Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.75 / $3,682.00 / $12,281.00	Facility		$887.75	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.13 / $978.16 / $1,605.84	Professional		$828.13	$978.16	$1,605.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.08 / $1,127.89 / $1,536.96	Professional		$891.08	$1,127.89	$1,536.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $866.46 / $884.60	Facility		$80.00	$866.46	$884.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,094.01 / $1,094.01 / $1,094.01	Facility		$1,094.01	$1,094.01	$1,094.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.62 / $1,285.02 / $1,931.83	Professional		$927.62	$1,285.02	$1,931.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,646.32	Facility		$55.00	$55.00	$6,646.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,975.92 / $7,111.44 / $8,316.45	Professional		$6,975.92	$7,111.44	$8,316.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $922.77 / $1,163.32 / $1,817.82	Facility		$922.77	$1,163.32	$1,817.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,189.14 / $1,426.97 / $1,769.44	Professional		$1,189.14	$1,426.97	$1,769.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.05 / $1,288.00 / $1,666.66	Professional		$1,015.05	$1,288.00	$1,666.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $925.26 / $1,163.32 / $1,869.62	Facility		$925.26	$1,163.32	$1,869.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $967.44 / $1,317.22 / $1,991.00	Professional		$967.44	$1,317.22	$1,991.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,680.00 / $10,281.00 / $21,039.00	Facility		$4,680.00	$10,281.00	$21,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $755.18 / $1,042.66 / $1,598.40	Professional		$755.18	$1,042.66	$1,598.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $811.91 / $922.77 / $1,279.52	Professional		$811.91	$922.77	$1,279.52