Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,669.00 / $12,040.00	Facility		$935.00	$3,669.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.73 / $825.97 / $1,174.29	Professional		$721.73	$825.97	$1,174.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $818.47 / $1,372.39 / $3,754.08	Facility		$818.47	$1,372.39	$3,754.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $754.16 / $961.14 / $1,339.09	Professional		$754.16	$961.14	$1,339.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $710.52 / $710.52 / $710.52	Facility		$710.52	$710.52	$710.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.32 / $1,128.41 / $1,726.53	Professional		$821.32	$1,128.41	$1,726.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,524.35	Facility		$55.00	$55.00	$6,524.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,017.19 / $7,017.19 / $7,017.19	Professional		$7,017.19	$7,017.19	$7,017.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $795.66 / $1,070.33 / $2,168.42	Facility		$795.66	$1,070.33	$2,168.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.23 / $1,221.92 / $1,437.55	Professional		$1,038.23	$1,221.92	$1,437.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,073.09 / $1,073.09 / $1,073.09	Professional		$1,073.09	$1,073.09	$1,073.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $796.23 / $1,087.35 / $2,168.42	Facility		$796.23	$1,087.35	$2,168.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $821.32 / $1,144.77 / $1,809.22	Professional		$821.32	$1,144.77	$1,809.22
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 $685.10 / $906.83 / $1,456.51	Professional		$685.10	$906.83	$1,456.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $681.62 / $778.66 / $1,074.91	Professional		$681.62	$778.66	$1,074.91