Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,512.00 / $8,328.00	Facility		$657.00	$2,512.00	$8,328.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.78 / $717.05 / $1,050.91	Professional		$595.78	$717.05	$1,050.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,411.78 / $2,547.69 / $4,940.55	Facility		$1,411.78	$2,547.69	$4,940.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.91 / $797.51 / $1,273.63	Professional		$627.91	$797.51	$1,273.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $636.44 / $636.44 / $843.54	Facility		$636.44	$636.44	$843.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.15 / $906.35 / $1,355.64	Professional		$697.15	$906.35	$1,355.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,806.47 / $16,394.00 / $16,394.00	Facility		$4,806.47	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,082.96 / $5,877.44 / $6,859.58	Professional		$5,082.96	$5,877.44	$6,859.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $647.76 / $844.80 / $1,239.96	Facility		$647.76	$844.80	$1,239.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $803.25 / $1,129.89 / $1,474.03	Professional		$803.25	$1,129.89	$1,474.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.37 / $834.55 / $1,101.55	Professional		$676.37	$834.55	$1,101.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $646.60 / $844.80 / $1,285.57	Facility		$646.60	$844.80	$1,285.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $738.40 / $945.80 / $1,524.28	Professional		$738.40	$945.80	$1,524.28
United Facility/Professional Facility Modifier Low / Median / High Price $745.00 / $2,494.00 / $4,764.00	Facility		$745.00	$2,494.00	$4,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $618.22 / $840.68 / $1,253.75	Professional		$618.22	$840.68	$1,253.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.37 / $768.35 / $1,069.50	Professional		$676.37	$768.35	$1,069.50