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 / $10,893.00	Facility		$895.00	$3,596.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.09 / $938.93 / $1,125.83	Professional		$824.09	$938.93	$1,125.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $852.47 / $1,412.30 / $6,965.60	Facility		$852.47	$1,412.30	$6,965.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $763.04 / $965.82 / $1,345.60	Professional		$763.04	$965.82	$1,345.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $810.05 / $810.05 / $810.05	Facility		$810.05	$810.05	$810.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.80 / $1,140.83 / $1,811.18	Professional		$867.80	$1,140.83	$1,811.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,933.00 / $15,008.96	Facility		$55.00	$11,933.00	$15,008.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,627.02 / $8,627.02 / $8,627.02	Professional		$8,627.02	$8,627.02	$8,627.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $858.68 / $1,090.82 / $2,089.87	Facility		$858.68	$1,090.82	$2,089.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.95 / $1,214.94 / $1,417.43	Professional		$1,052.95	$1,214.94	$1,417.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $796.90 / $872.48 / $1,410.59	Professional		$796.90	$872.48	$1,410.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $858.68 / $1,107.33 / $2,215.80	Facility		$858.68	$1,107.33	$2,215.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $867.80 / $1,151.35 / $1,877.56	Professional		$867.80	$1,151.35	$1,877.56
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 $698.41 / $939.03 / $1,459.21	Professional		$698.41	$939.03	$1,459.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.28 / $788.91 / $1,085.63	Professional		$691.28	$788.91	$1,085.63