Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,673.00 / $7,495.00	Facility		$803.00	$2,673.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.56 / $923.51 / $1,225.68	Professional		$766.56	$923.51	$1,225.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.04 / $975.95 / $1,111.97	Professional		$771.04	$975.95	$1,111.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $723.44 / $723.44 / $723.44	Facility		$723.44	$723.44	$723.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.50 / $1,106.80 / $1,737.84	Professional		$848.50	$1,106.80	$1,737.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,394.00 / $16,547.20	Facility		$11,500.00	$16,394.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,035.04 / $6,203.36 / $7,018.95	Professional		$6,035.04	$6,203.36	$7,018.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $817.18 / $1,056.19 / $1,801.58	Facility		$817.18	$1,056.19	$1,801.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,055.89 / $1,242.70 / $1,462.00	Professional		$1,055.89	$1,242.70	$1,462.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,312.00 / $1,312.00 / $1,312.00	Professional		$1,312.00	$1,312.00	$1,312.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $817.18 / $1,097.77 / $2,083.69	Facility		$817.18	$1,097.77	$2,083.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $850.28 / $1,120.05 / $1,768.56	Professional		$850.28	$1,120.05	$1,768.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,002.00 / $13,134.00	Facility		$2,093.00	$6,002.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.19 / $933.89 / $1,441.16	Professional		$678.19	$933.89	$1,441.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $693.21 / $787.30 / $1,096.81	Professional		$693.21	$787.30	$1,096.81