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 $724.76 / $832.99 / $1,217.97	Professional		$724.76	$832.99	$1,217.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,700.63 / $6,620.89 / $12,900.05	Facility		$3,700.63	$6,620.89	$12,900.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.11 / $969.71 / $1,351.03	Professional		$766.11	$969.71	$1,351.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $717.63 / $717.63 / $717.63	Facility		$717.63	$717.63	$717.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.66 / $1,138.58 / $1,741.18	Professional		$828.66	$1,138.58	$1,741.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,899.50	Facility		$55.00	$55.00	$10,899.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,983.09 / $7,983.09 / $7,983.09	Professional		$7,983.09	$7,983.09	$7,983.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $802.76 / $1,080.36 / $2,090.00	Facility		$802.76	$1,080.36	$2,090.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.48 / $1,232.80 / $1,450.35	Professional		$1,047.48	$1,232.80	$1,450.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,126.80 / $1,126.80 / $1,126.80	Professional		$1,126.80	$1,126.80	$1,126.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $802.84 / $1,097.04 / $2,135.81	Facility		$802.84	$1,097.04	$2,135.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $828.66 / $1,153.94 / $1,872.11	Professional		$828.66	$1,153.94	$1,872.11
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 $666.86 / $917.74 / $1,504.43	Professional		$666.86	$917.74	$1,504.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $687.68 / $785.53 / $1,084.54	Professional		$687.68	$785.53	$1,084.54