Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.42 / $3,682.00 / $10,836.00	Facility		$942.42	$3,682.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.93 / $1,077.32 / $1,296.25	Professional		$930.93	$1,077.32	$1,296.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $876.92 / $1,109.97 / $1,546.44	Professional		$876.92	$1,109.97	$1,546.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $877.34 / $877.34 / $877.34	Facility		$877.34	$877.34	$877.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.91 / $1,333.71 / $2,153.98	Professional		$993.91	$1,333.71	$2,153.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $22,366.47	Facility		$55.00	$55.00	$22,366.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,703.28 / $6,871.52 / $8,127.53	Professional		$6,703.28	$6,871.52	$8,127.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $916.13 / $1,131.19 / $2,190.46	Facility		$916.13	$1,131.19	$2,190.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,200.54 / $1,385.24 / $1,616.11	Professional		$1,200.54	$1,385.24	$1,616.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $873.28 / $960.61 / $1,585.26	Professional		$873.28	$960.61	$1,585.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $916.13 / $1,137.27 / $2,242.13	Facility		$916.13	$1,137.27	$2,242.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $990.15 / $1,357.52 / $2,360.92	Professional		$990.15	$1,357.52	$2,360.92
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 $821.98 / $1,084.90 / $1,718.61	Professional		$821.98	$1,084.90	$1,718.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $788.17 / $904.95 / $1,234.06	Professional		$788.17	$904.95	$1,234.06