Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,186.00 / $10,893.00	Facility		$872.00	$3,186.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.14 / $974.85 / $1,361.09	Professional		$878.14	$974.85	$1,361.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $927.22 / $1,564.68 / $5,785.44	Facility		$927.22	$1,564.68	$5,785.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $833.34 / $873.14 / $1,006.98	Professional		$833.34	$873.14	$1,006.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $819.09 / $819.09 / $819.09	Facility		$819.09	$819.09	$819.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.82 / $1,240.10 / $1,924.93	Professional		$945.82	$1,240.10	$1,924.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $8,438.00	Facility		$55.00	$2,000.00	$8,438.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,127.82 / $7,127.82 / $7,689.53	Professional		$7,127.82	$7,127.82	$7,689.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $911.95 / $1,213.85 / $2,047.60	Facility		$911.95	$1,213.85	$2,047.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,168.17 / $1,374.84 / $1,617.46	Professional		$1,168.17	$1,374.84	$1,617.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,376.10 / $1,376.10 / $1,376.10	Professional		$1,376.10	$1,376.10	$1,376.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $911.95 / $1,215.44 / $2,282.98	Facility		$911.95	$1,215.44	$2,282.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $945.82 / $1,260.10 / $2,093.98	Professional		$945.82	$1,260.10	$2,093.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $768.86 / $1,057.18 / $1,633.82	Professional		$768.86	$1,057.18	$1,633.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $766.92 / $878.12 / $1,213.03	Professional		$766.92	$878.12	$1,213.03