Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.48 / $3,596.00 / $10,836.00	Facility		$842.48	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.83 / $865.26 / $1,190.58	Professional		$723.83	$865.26	$1,190.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.12 / $924.13 / $1,287.52	Professional		$725.12	$924.13	$1,287.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $764.18 / $764.18 / $764.18	Facility		$764.18	$764.18	$764.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.20 / $1,078.90 / $1,669.18	Professional		$826.20	$1,078.90	$1,669.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,672.83	Facility		$55.00	$55.00	$11,672.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,383.18 / $6,383.18 / $6,849.98	Professional		$6,383.18	$6,383.18	$6,849.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $774.94 / $1,020.49 / $1,937.50	Facility		$774.94	$1,020.49	$1,937.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $854.30 / $1,188.26 / $1,397.95	Professional		$854.30	$1,188.26	$1,397.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $756.01 / $825.37 / $1,339.45	Professional		$756.01	$825.37	$1,339.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $774.94 / $1,028.53 / $2,035.41	Facility		$774.94	$1,028.53	$2,035.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.61 / $1,094.64 / $1,738.58	Professional		$831.61	$1,094.64	$1,738.58
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $662.24 / $913.86 / $1,412.33	Professional		$662.24	$913.86	$1,412.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $662.84 / $756.01 / $1,040.03	Professional		$662.84	$756.01	$1,040.03