Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.97 / $3,219.00 / $12,040.00	Facility		$857.97	$3,219.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.97 / $999.69 / $1,368.82	Professional		$857.97	$999.69	$1,368.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.64 / $993.60 / $1,840.41	Professional		$721.64	$993.60	$1,840.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $825.60 / $825.60 / $825.60	Facility		$825.60	$825.60	$825.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.85 / $1,377.85 / $1,377.85	Facility		$1,377.85	$1,377.85	$1,377.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.75 / $1,268.92 / $2,023.86	Professional		$952.75	$1,268.92	$2,023.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,444.45 / $26,542.00 / $26,542.00	Facility		$5,444.45	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,596.00 / $8,596.00 / $8,596.00	Professional		$8,596.00	$8,596.00	$8,596.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.54 / $1,236.73 / $2,078.73	Facility		$912.54	$1,236.73	$2,078.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,175.30 / $1,383.24 / $1,627.34	Professional		$1,175.30	$1,383.24	$1,627.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,444.80 / $1,444.80 / $1,444.80	Professional		$1,444.80	$1,444.80	$1,444.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.54 / $1,236.73 / $2,353.77	Facility		$912.54	$1,236.73	$2,353.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $964.54 / $1,294.98 / $2,125.21	Professional		$964.54	$1,294.98	$2,125.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $803.56 / $1,065.50 / $1,672.10	Professional		$803.56	$1,065.50	$1,672.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $771.61 / $883.11 / $1,220.66	Professional		$771.61	$883.11	$1,220.66