Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.84 / $3,596.00 / $10,836.00	Facility		$813.84	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.24 / $817.11 / $1,280.47	Professional		$718.24	$817.11	$1,280.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.58 / $1,030.94 / $1,741.87	Professional		$815.58	$1,030.94	$1,741.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $853.84 / $853.84 / $853.84	Facility		$853.84	$853.84	$853.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.46 / $1,180.63 / $1,764.27	Professional		$913.46	$1,180.63	$1,764.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,887.50	Facility		$55.00	$55.00	$9,887.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,085.28 / $6,214.64 / $7,857.23	Professional		$6,085.28	$6,214.64	$7,857.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $808.52 / $1,088.56 / $1,941.39	Facility		$808.52	$1,088.56	$1,941.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $952.86 / $1,325.35 / $1,559.23	Professional		$952.86	$1,325.35	$1,559.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.70 / $1,018.70 / $1,018.70	Professional		$1,018.70	$1,018.70	$1,018.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $808.52 / $1,092.83 / $1,987.18	Facility		$808.52	$1,092.83	$1,987.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $917.99 / $1,193.77 / $1,783.11	Professional		$917.99	$1,193.77	$1,783.11
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 $696.54 / $949.98 / $1,525.58	Professional		$696.54	$949.98	$1,525.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $739.31 / $837.35 / $1,152.71	Professional		$739.31	$837.35	$1,152.71