Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.90 / $3,682.00 / $12,281.00	Facility		$947.90	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.19 / $947.90 / $1,504.38	Professional		$737.19	$947.90	$1,504.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.76 / $6,071.14 / $11,157.22	Facility		$3,283.76	$6,071.14	$11,157.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $741.97 / $741.97 / $775.02	Facility		$741.97	$741.97	$775.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,578.19 / $2,578.19 / $2,662.46	Facility		$2,578.19	$2,578.19	$2,662.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.14 / $1,074.29 / $1,565.50	Professional		$815.14	$1,074.29	$1,565.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,322.88 / $6,536.32 / $7,194.30	Professional		$6,322.88	$6,536.32	$7,194.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $1,008.27 / $1,536.22	Facility		$785.00	$1,008.27	$1,536.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $813.18 / $1,261.52 / $4,663.00	Professional		$813.18	$1,261.52	$4,663.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $738.29 / $859.21 / $1,757.47	Professional		$738.29	$859.21	$1,757.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $788.08 / $1,024.08 / $1,673.18	Facility		$788.08	$1,024.08	$1,673.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $815.14 / $1,110.34 / $1,647.61	Professional		$815.14	$1,110.34	$1,647.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $671.27 / $887.59 / $1,331.39	Professional		$671.27	$887.59	$1,331.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $717.78 / $813.18 / $1,140.49	Professional		$717.78	$813.18	$1,140.49