Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $3,682.00 / $12,040.00	Facility		$828.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.17 / $796.01 / $1,063.39	Professional		$686.17	$796.01	$1,063.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,807.24 / $4,829.66 / $9,266.92	Facility		$2,807.24	$4,829.66	$9,266.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $671.62 / $703.70 / $811.57	Professional		$671.62	$703.70	$811.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $661.99 / $661.99 / $661.99	Facility		$661.99	$661.99	$661.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.18 / $1,001.62 / $1,550.41	Professional		$763.18	$1,001.62	$1,550.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,159.60	Facility		$55.00	$55.00	$8,159.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,428.40 / $5,552.08 / $6,199.28	Professional		$5,428.40	$5,552.08	$6,199.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $731.14 / $957.73 / $1,644.95	Facility		$731.14	$957.73	$1,644.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $941.51 / $1,108.08 / $1,303.63	Professional		$941.51	$1,108.08	$1,303.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $869.20 / $869.20 / $1,081.40	Professional		$869.20	$869.20	$1,081.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $731.14 / $958.19 / $1,885.25	Facility		$731.14	$958.19	$1,885.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $763.18 / $1,015.99 / $1,593.00	Professional		$763.18	$1,015.99	$1,593.00
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 $620.46 / $853.13 / $1,354.15	Professional		$620.46	$853.13	$1,354.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $618.12 / $707.31 / $977.85	Professional		$618.12	$707.31	$977.85