Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,669.00 / $12,040.00	Facility		$923.00	$3,669.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.38 / $804.05 / $1,221.66	Professional		$710.38	$804.05	$1,221.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $778.34 / $1,294.49 / $5,177.00	Facility		$778.34	$1,294.49	$5,177.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.95 / $940.20 / $1,304.89	Professional		$739.95	$940.20	$1,304.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $692.04 / $692.04 / $692.04	Facility		$692.04	$692.04	$692.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.48 / $1,098.57 / $1,680.70	Professional		$799.48	$1,098.57	$1,680.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,350.68	Facility		$55.00	$55.00	$6,350.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,750.88 / $5,930.64 / $6,734.55	Professional		$5,750.88	$5,930.64	$6,734.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $774.41 / $991.11 / $1,704.54	Facility		$774.41	$991.11	$1,704.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $855.02 / $1,189.25 / $1,399.12	Professional		$855.02	$1,189.25	$1,399.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $967.30 / $967.30 / $967.30	Professional		$967.30	$967.30	$967.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $775.01 / $996.25 / $1,744.75	Facility		$775.01	$996.25	$1,744.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $799.48 / $1,113.24 / $1,752.70	Professional		$799.48	$1,113.24	$1,752.70
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,000.00 / $8,759.00	Facility		$385.00	$2,000.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $665.35 / $898.60 / $1,399.59	Professional		$665.35	$898.60	$1,399.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $663.39 / $757.72 / $1,046.26	Professional		$663.39	$757.72	$1,046.26