Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,596.00 / $10,893.00	Facility		$872.00	$3,596.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.02 / $899.33 / $1,139.08	Professional		$787.02	$899.33	$1,139.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.18 / $928.03 / $1,292.95	Professional		$733.18	$928.03	$1,292.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $753.26 / $753.26 / $753.26	Facility		$753.26	$753.26	$753.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.80 / $1,060.84 / $1,665.79	Professional		$830.80	$1,060.84	$1,665.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,933.00 / $14,379.20	Facility		$55.00	$11,933.00	$14,379.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,043.14 / $8,437.29 / $8,437.29	Professional		$7,043.14	$8,437.29	$8,437.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $797.36 / $987.21 / $1,790.89	Facility		$797.36	$987.21	$1,790.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.15 / $1,167.86 / $1,362.52	Professional		$1,012.15	$1,167.86	$1,362.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $749.83 / $830.80 / $1,348.15	Professional		$749.83	$830.80	$1,348.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $797.36 / $1,002.90 / $2,138.33	Facility		$797.36	$1,002.90	$2,138.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $830.80 / $1,091.65 / $1,818.65	Professional		$830.80	$1,091.65	$1,818.65
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 $671.11 / $883.69 / $1,407.81	Professional		$671.11	$883.69	$1,407.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $664.49 / $759.39 / $1,041.47	Professional		$664.49	$759.39	$1,041.47