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 $793.98 / $912.71 / $1,303.47	Professional		$793.98	$912.71	$1,303.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.35 / $993.35 / $1,478.04	Professional		$741.35	$993.35	$1,478.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $783.98 / $783.98 / $783.98	Facility		$783.98	$783.98	$783.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $907.40 / $1,222.57 / $1,871.49	Professional		$907.40	$1,222.57	$1,871.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,209.23	Facility		$55.00	$55.00	$7,209.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,710.08 / $6,731.68 / $7,648.95	Professional		$6,710.08	$6,731.68	$7,648.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $879.38 / $1,158.11 / $2,390.69	Facility		$879.38	$1,158.11	$2,390.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,147.56 / $1,350.59 / $1,588.93	Professional		$1,147.56	$1,350.59	$1,588.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.40 / $1,242.40 / $1,242.40	Professional		$1,242.40	$1,242.40	$1,242.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $879.88 / $1,164.48 / $2,390.69	Facility		$879.88	$1,164.48	$2,390.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $907.40 / $1,267.08 / $1,946.77	Professional		$907.40	$1,267.08	$1,946.77
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 $711.60 / $1,008.12 / $1,593.56	Professional		$711.60	$1,008.12	$1,593.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $753.39 / $861.07 / $1,187.83	Professional		$753.39	$861.07	$1,187.83