Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $3,596.00 / $12,281.00	Facility		$951.00	$3,596.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.07 / $965.12 / $1,323.99	Professional		$828.07	$965.12	$1,323.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,774.55 / $26,360.94 / $52,370.40	Facility		$11,774.55	$26,360.94	$52,370.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.72 / $849.44 / $979.65	Professional		$810.72	$849.44	$979.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $797.85 / $797.85 / $797.85	Facility		$797.85	$797.85	$797.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.92 / $1,199.90 / $1,833.64	Professional		$910.92	$1,199.90	$1,833.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $54,004.00	Facility		$55.00	$55.00	$54,004.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,662.00 / $6,696.32 / $7,483.28	Professional		$6,662.00	$6,696.32	$7,483.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $873.29 / $1,136.63 / $1,987.25	Facility		$873.29	$1,136.63	$1,987.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.63 / $1,337.72 / $1,573.79	Professional		$1,136.63	$1,337.72	$1,573.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,129.20 / $1,129.20 / $1,129.20	Professional		$1,129.20	$1,129.20	$1,129.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $873.29 / $1,140.17 / $2,275.67	Facility		$873.29	$1,140.17	$2,275.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $920.15 / $1,221.26 / $1,887.97	Professional		$920.15	$1,221.26	$1,887.97
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $33,645.00	Facility		$369.00	$1,529.00	$33,645.00
United Facility/Professional Professional Modifier Low / Median / High Price $749.51 / $1,020.15 / $1,592.71	Professional		$749.51	$1,020.15	$1,592.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $746.21 / $854.19 / $1,180.34	Professional		$746.21	$854.19	$1,180.34