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 $851.95 / $928.81 / $1,286.59	Professional		$851.95	$928.81	$1,286.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $886.10 / $1,536.65 / $8,286.91	Facility		$886.10	$1,536.65	$8,286.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.21 / $959.70 / $1,106.75	Professional		$794.21	$959.70	$1,106.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $781.49 / $781.49 / $781.49	Facility		$781.49	$781.49	$781.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.65 / $1,184.81 / $1,834.25	Professional		$901.65	$1,184.81	$1,834.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,038.29	Facility		$55.00	$55.00	$7,038.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,420.96 / $6,562.40 / $7,330.05	Professional		$6,420.96	$6,562.40	$7,330.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $868.99 / $1,156.75 / $1,948.28	Facility		$868.99	$1,156.75	$1,948.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $942.19 / $1,310.51 / $1,541.77	Professional		$942.19	$1,310.51	$1,541.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,279.70 / $1,279.70 / $1,279.70	Professional		$1,279.70	$1,279.70	$1,279.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $868.99 / $1,165.27 / $2,230.19	Facility		$868.99	$1,165.27	$2,230.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $901.65 / $1,202.35 / $1,995.44	Professional		$901.65	$1,202.35	$1,995.44
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 $737.22 / $1,010.90 / $1,560.19	Professional		$737.22	$1,010.90	$1,560.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $731.03 / $836.87 / $1,156.33	Professional		$731.03	$836.87	$1,156.33