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 / $933.21 / $1,435.16	Professional		$819.44	$933.21	$1,435.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.07 / $859.57 / $1,239.16	Professional		$753.07	$859.57	$1,239.16
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 $984.07 / $1,293.68 / $1,813.97	Professional		$984.07	$1,293.68	$1,813.97
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 $6,939.52 / $7,093.84 / $8,980.58	Professional		$6,939.52	$7,093.84	$8,980.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $910.98 / $1,168.92 / $2,229.42	Facility		$910.98	$1,168.92	$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 $1,177.90 / $1,177.90 / $1,177.90	Professional		$1,177.90	$1,177.90	$1,177.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $910.98 / $1,179.65 / $2,325.90	Facility		$910.98	$1,179.65	$2,325.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $984.07 / $1,301.23 / $2,009.20	Professional		$984.07	$1,301.23	$2,009.20
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 $763.07 / $1,049.39 / $1,735.40	Professional		$763.07	$1,049.39	$1,735.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $844.22 / $956.77 / $1,315.51	Professional		$844.22	$956.77	$1,315.51