Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $3,596.00 / $10,836.00	Facility		$828.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.48 / $770.76 / $1,093.10	Professional		$673.48	$770.76	$1,093.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,253.00 / $10,256.51 / $19,976.73	Facility		$5,253.00	$10,256.51	$19,976.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.55 / $886.73 / $1,235.41	Professional		$700.55	$886.73	$1,235.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $676.36 / $676.36 / $676.36	Facility		$676.36	$676.36	$676.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.10 / $1,043.13 / $1,611.12	Professional		$766.10	$1,043.13	$1,611.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,298.90	Facility		$55.00	$55.00	$16,298.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,806.93 / $5,806.93 / $6,396.83	Professional		$5,806.93	$5,806.93	$6,396.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $746.00 / $971.27 / $1,654.89	Facility		$746.00	$971.27	$1,654.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $970.94 / $1,142.73 / $1,344.38	Professional		$970.94	$1,142.73	$1,344.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.09 / $1,071.09 / $1,071.09	Professional		$1,071.09	$1,071.09	$1,071.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $746.00 / $976.53 / $1,866.09	Facility		$746.00	$976.53	$1,866.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $766.10 / $1,054.95 / $1,693.00	Professional		$766.10	$1,054.95	$1,693.00
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 $630.01 / $852.29 / $1,334.20	Professional		$630.01	$852.29	$1,334.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $637.44 / $728.74 / $1,008.63	Professional		$637.44	$728.74	$1,008.63