Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,570.00 / $13,004.00	Facility		$921.00	$3,570.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.57 / $992.28 / $1,495.84	Professional		$854.57	$992.28	$1,495.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.40 / $4,112.29 / $8,853.20	Facility		$2,226.40	$4,112.29	$8,853.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $965.88 / $1,222.57 / $1,703.31	Professional		$965.88	$1,222.57	$1,703.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,007.66 / $1,007.66 / $1,007.66	Facility		$1,007.66	$1,007.66	$1,007.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.28 / $1,368.07 / $2,060.29	Professional		$1,041.28	$1,368.07	$2,060.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,764.40	Facility		$55.00	$55.00	$11,764.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,492.71 / $7,492.71 / $9,357.75	Professional		$7,492.71	$7,492.71	$9,357.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $883.83 / $1,173.32 / $2,306.78	Facility		$883.83	$1,173.32	$2,306.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,340.57 / $1,577.75 / $1,856.18	Professional		$1,340.57	$1,577.75	$1,856.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $989.80 / $989.80 / $989.80	Professional		$989.80	$989.80	$989.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $883.83 / $1,196.68 / $2,365.69	Facility		$883.83	$1,196.68	$2,365.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.17 / $1,374.24 / $2,112.61	Professional		$1,047.17	$1,374.24	$2,112.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $805.25 / $1,106.98 / $1,803.28	Professional		$805.25	$1,106.98	$1,803.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $880.11 / $997.23 / $1,371.78	Professional		$880.11	$997.23	$1,371.78