Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.00 / $3,669.00 / $12,040.00	Facility		$942.00	$3,669.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.69 / $987.02 / $1,377.56	Professional		$888.69	$987.02	$1,377.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $849.22 / $1,071.59 / $1,497.59	Professional		$849.22	$1,071.59	$1,497.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $826.82 / $826.82 / $826.82	Facility		$826.82	$826.82	$826.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $956.66 / $1,263.08 / $1,949.38	Professional		$956.66	$1,263.08	$1,949.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,533.52	Facility		$55.00	$55.00	$8,533.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,814.56 / $6,966.16 / $7,776.38	Professional		$6,814.56	$6,966.16	$7,776.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $923.54 / $1,225.48 / $2,075.10	Facility		$923.54	$1,225.48	$2,075.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $999.83 / $1,390.68 / $1,636.09	Professional		$999.83	$1,390.68	$1,636.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,351.30 / $1,351.30 / $1,351.30	Professional		$1,351.30	$1,351.30	$1,351.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $923.54 / $1,241.53 / $2,220.80	Facility		$923.54	$1,241.53	$2,220.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $956.66 / $1,281.22 / $2,082.00	Professional		$956.66	$1,281.22	$2,082.00
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 $777.10 / $1,068.44 / $1,662.65	Professional		$777.10	$1,068.44	$1,662.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $775.75 / $888.75 / $1,226.79	Professional		$775.75	$888.75	$1,226.79