Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.00 / $3,669.00 / $12,040.00	Facility		$942.00	$3,669.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.48 / $915.09 / $1,338.46	Professional		$808.48	$915.09	$1,338.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.43 / $1,479.59 / $5,456.92	Facility		$891.43	$1,479.59	$5,456.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.29 / $1,067.70 / $1,481.84	Professional		$840.29	$1,067.70	$1,481.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $786.53 / $786.53 / $786.53	Facility		$786.53	$786.53	$786.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.06 / $1,254.08 / $1,918.73	Professional		$913.06	$1,254.08	$1,918.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,042.62	Facility		$55.00	$55.00	$10,042.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,322.65 / $7,322.65 / $7,671.60	Professional		$7,322.65	$7,322.65	$7,671.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $881.96 / $1,184.31 / $2,185.50	Facility		$881.96	$1,184.31	$2,185.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,150.92 / $1,354.54 / $1,593.58	Professional		$1,150.92	$1,354.54	$1,593.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.00 / $1,220.00 / $1,220.00	Professional		$1,220.00	$1,220.00	$1,220.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $882.49 / $1,215.69 / $2,342.61	Facility		$882.49	$1,215.69	$2,342.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $913.06 / $1,287.28 / $2,011.36	Professional		$913.06	$1,287.28	$2,011.36
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 $745.98 / $1,008.67 / $1,597.79	Professional		$745.98	$1,008.67	$1,597.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $755.59 / $863.52 / $1,191.35	Professional		$755.59	$863.52	$1,191.35