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 $899.40 / $993.89 / $1,387.73	Professional		$899.40	$993.89	$1,387.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $727.07 / $1,203.02 / $1,880.32	Professional		$727.07	$1,203.02	$1,880.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $833.00 / $833.00 / $833.00	Facility		$833.00	$833.00	$833.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $963.54 / $1,272.30 / $1,962.89	Professional		$963.54	$1,272.30	$1,962.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,597.44	Facility		$55.00	$55.00	$8,597.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,865.12 / $7,015.76 / $7,835.03	Professional		$6,865.12	$7,015.76	$7,835.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $929.94 / $1,248.03 / $2,089.62	Facility		$929.94	$1,248.03	$2,089.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.30 / $1,401.07 / $1,648.31	Professional		$1,007.30	$1,401.07	$1,648.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.10 / $1,412.10 / $1,412.10	Professional		$1,412.10	$1,412.10	$1,412.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $929.94 / $1,250.02 / $2,282.98	Facility		$929.94	$1,250.02	$2,282.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $963.54 / $1,293.22 / $2,135.04	Professional		$963.54	$1,293.22	$2,135.04
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 $787.91 / $1,084.24 / $1,674.31	Professional		$787.91	$1,084.24	$1,674.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $781.55 / $895.31 / $1,235.98	Professional		$781.55	$895.31	$1,235.98