Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.76 / $3,596.00 / $10,836.00	Facility		$887.76	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.44 / $911.36 / $1,096.90	Professional		$797.44	$911.36	$1,096.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $742.11 / $939.33 / $1,308.69	Professional		$742.11	$939.33	$1,308.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $742.58 / $742.58 / $742.58	Facility		$742.58	$742.58	$742.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.06 / $1,108.09 / $1,770.00	Professional		$842.06	$1,108.09	$1,770.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,770.65	Facility		$55.00	$55.00	$3,770.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,057.00 / $10,057.00 / $10,057.00	Professional		$10,057.00	$10,057.00	$10,057.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $837.43 / $1,043.51 / $2,285.09	Facility		$837.43	$1,043.51	$2,285.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.52 / $1,171.76 / $1,367.05	Professional		$1,015.52	$1,171.76	$1,367.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $738.90 / $837.43 / $1,357.72	Professional		$738.90	$837.43	$1,357.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $837.43 / $1,055.90 / $2,285.09	Facility		$837.43	$1,055.90	$2,285.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $842.06 / $1,146.27 / $1,913.78	Professional		$842.06	$1,146.27	$1,913.78
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 $694.10 / $916.65 / $1,518.88	Professional		$694.10	$916.65	$1,518.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $666.71 / $765.51 / $1,043.93	Professional		$666.71	$765.51	$1,043.93