Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,596.00 / $10,836.00	Facility		$895.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.44 / $967.13 / $1,475.91	Professional		$819.44	$967.13	$1,475.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $931.60 / $1,560.90 / $1,989.67	Professional		$931.60	$1,560.90	$1,989.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $966.42 / $966.42 / $966.42	Facility		$966.42	$966.42	$966.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,033.99 / $1,350.14 / $2,009.20	Professional		$1,033.99	$1,350.14	$2,009.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,280.00	Facility		$55.00	$55.00	$11,280.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,957.90 / $7,093.84 / $8,980.58	Professional		$6,957.90	$7,093.84	$8,980.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $886.55 / $1,200.69 / $2,229.42	Facility		$886.55	$1,200.69	$2,229.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,088.08 / $1,513.41 / $1,780.49	Professional		$1,088.08	$1,513.41	$1,780.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,110.80 / $1,110.80 / $1,110.80	Professional		$1,110.80	$1,110.80	$1,110.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $886.55 / $1,200.69 / $2,282.02	Facility		$886.55	$1,200.69	$2,282.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,046.72 / $1,380.17 / $2,038.71	Professional		$1,046.72	$1,380.17	$2,038.71
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $799.74 / $1,130.75 / $1,830.92	Professional		$799.74	$1,130.75	$1,830.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $844.22 / $956.77 / $1,315.51	Professional		$844.22	$956.77	$1,315.51