Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,120.00 / $10,836.00	Facility		$727.00	$3,120.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.97 / $734.40 / $1,108.99	Professional		$571.97	$734.40	$1,108.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,460.47 / $2,596.38 / $5,501.09	Facility		$1,460.47	$2,596.38	$5,501.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.04 / $797.81 / $1,133.58	Professional		$620.04	$797.81	$1,133.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $590.17 / $590.17 / $848.21	Facility		$590.17	$590.17	$848.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.95 / $893.39 / $1,356.21	Professional		$671.95	$893.39	$1,356.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,402.71 / $26,542.00 / $26,542.00	Facility		$3,402.71	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,868.39 / $6,049.44 / $7,128.75	Professional		$4,868.39	$6,049.44	$7,128.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $631.62 / $829.49 / $1,182.55	Facility		$631.62	$829.49	$1,182.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $819.34 / $1,120.67 / $1,523.97	Professional		$819.34	$1,120.67	$1,523.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $638.67 / $836.49 / $1,104.16	Professional		$638.67	$836.49	$1,104.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $627.62 / $826.49 / $1,193.53	Facility		$627.62	$826.49	$1,193.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $686.33 / $928.62 / $1,520.73	Professional		$686.33	$928.62	$1,520.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,124.00 / $3,314.00 / $7,600.00	Facility		$1,124.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $647.72 / $863.62 / $1,268.55	Professional		$647.72	$863.62	$1,268.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $699.28 / $789.99 / $1,105.99	Professional		$699.28	$789.99	$1,105.99