Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,596.00 / $10,836.00	Facility		$872.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.30 / $889.10 / $1,230.70	Professional		$804.30	$889.10	$1,230.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $850.09 / $1,474.28 / $8,006.00	Facility		$850.09	$1,474.28	$8,006.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.88 / $968.16 / $1,348.86	Professional		$764.88	$968.16	$1,348.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $748.18 / $748.18 / $748.18	Facility		$748.18	$748.18	$748.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.63 / $1,132.99 / $1,755.34	Professional		$862.63	$1,132.99	$1,755.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,731.20	Facility		$55.00	$55.00	$6,731.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,353.45 / $6,353.45 / $7,007.70	Professional		$6,353.45	$6,353.45	$7,007.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.60 / $1,105.59 / $1,861.93	Facility		$831.60	$1,105.59	$1,861.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $900.91 / $1,253.08 / $1,474.22	Professional		$900.91	$1,253.08	$1,474.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,218.50 / $1,218.50 / $1,218.50	Professional		$1,218.50	$1,218.50	$1,218.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.60 / $1,117.95 / $2,132.38	Facility		$831.60	$1,117.95	$2,132.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $862.63 / $1,149.31 / $1,908.42	Professional		$862.63	$1,149.31	$1,908.42
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 $681.30 / $936.78 / $1,491.48	Professional		$681.30	$936.78	$1,491.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $699.00 / $800.08 / $1,105.81	Professional		$699.00	$800.08	$1,105.81