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 $859.26 / $950.67 / $1,326.78	Professional		$859.26	$950.67	$1,326.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $723.93 / $962.82 / $1,443.31	Professional		$723.93	$962.82	$1,443.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $798.02 / $798.02 / $798.02	Facility		$798.02	$798.02	$798.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $922.09 / $1,215.28 / $1,877.52	Professional		$922.09	$1,215.28	$1,877.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,194.67	Facility		$55.00	$55.00	$7,194.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,566.32 / $6,713.28 / $7,490.10	Professional		$6,566.32	$6,713.28	$7,490.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $889.49 / $1,181.97 / $1,998.69	Facility		$889.49	$1,181.97	$1,998.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $963.18 / $1,339.70 / $1,576.12	Professional		$963.18	$1,339.70	$1,576.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,325.10 / $1,325.10 / $1,325.10	Professional		$1,325.10	$1,325.10	$1,325.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $889.49 / $1,195.47 / $2,139.01	Facility		$889.49	$1,195.47	$2,139.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $922.09 / $1,233.94 / $2,042.79	Professional		$922.09	$1,233.94	$2,042.79
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 $753.55 / $1,036.13 / $1,601.30	Professional		$753.55	$1,036.13	$1,601.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $747.32 / $855.99 / $1,181.99	Professional		$747.32	$855.99	$1,181.99