Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,596.00 / $10,836.00	Facility		$895.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.98 / $982.28 / $1,347.07	Professional		$813.98	$982.28	$1,347.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $818.75 / $1,036.33 / $1,443.85	Professional		$818.75	$1,036.33	$1,443.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $852.65 / $852.65 / $852.65	Facility		$852.65	$852.65	$852.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.55 / $1,200.50 / $1,867.36	Professional		$928.55	$1,200.50	$1,867.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,075.66	Facility		$55.00	$55.00	$13,075.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.36 / $6,460.08 / $7,679.63	Professional		$6,309.36	$6,460.08	$7,679.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $858.00 / $1,134.46 / $1,989.54	Facility		$858.00	$1,134.46	$1,989.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $957.48 / $1,331.77 / $1,566.79	Professional		$957.48	$1,331.77	$1,566.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.20 / $1,336.20 / $1,336.20	Professional		$1,336.20	$1,336.20	$1,336.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $858.00 / $1,146.44 / $2,242.08	Facility		$858.00	$1,146.44	$2,242.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $934.36 / $1,235.63 / $1,965.51	Professional		$934.36	$1,235.63	$1,965.51
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 $747.12 / $1,031.17 / $1,593.94	Professional		$747.12	$1,031.17	$1,593.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $742.89 / $847.87 / $1,165.21	Professional		$742.89	$847.87	$1,165.21