Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,783.00 / $7,542.00	Facility		$803.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.46 / $962.50 / $1,552.44	Professional		$819.46	$962.50	$1,552.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $887.70 / $1,123.60 / $1,531.12	Professional		$887.70	$1,123.60	$1,531.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $862.76 / $881.23	Facility		$80.00	$862.76	$881.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,090.33 / $1,090.33 / $1,090.33	Facility		$1,090.33	$1,090.33	$1,090.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $937.28 / $1,284.05 / $1,880.82	Professional		$937.28	$1,284.05	$1,880.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,603.68 / $16,394.00 / $17,524.30	Facility		$3,603.68	$16,394.00	$17,524.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,949.04 / $7,086.24 / $8,285.70	Professional		$6,949.04	$7,086.24	$8,285.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $883.88 / $1,103.46 / $1,755.57	Facility		$883.88	$1,103.46	$1,755.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,184.69 / $1,421.63 / $1,762.82	Professional		$1,184.69	$1,421.63	$1,762.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.54 / $1,609.21 / $3,461.90	Professional		$1,038.54	$1,609.21	$3,461.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $890.80 / $1,105.59 / $1,833.91	Facility		$890.80	$1,105.59	$1,833.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $975.92 / $1,325.91 / $1,960.14	Professional		$975.92	$1,325.91	$1,960.14
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 $752.47 / $1,007.79 / $1,618.31	Professional		$752.47	$1,007.79	$1,618.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $808.88 / $919.55 / $1,274.58	Professional		$808.88	$919.55	$1,274.58