Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,120.00 / $10,836.00	Facility		$748.00	$3,120.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.55 / $779.26 / $1,183.49	Professional		$646.55	$779.26	$1,183.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,441.38 / $4,663.00 / $8,872.32	Facility		$2,441.38	$4,663.00	$8,872.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.37 / $860.03 / $1,240.46	Professional		$680.37	$860.03	$1,240.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $653.20 / $653.20 / $905.54	Facility		$653.20	$653.20	$905.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.83 / $972.67 / $1,453.38	Professional		$723.83	$972.67	$1,453.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,066.04 / $26,542.00 / $26,542.00	Facility		$5,066.04	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,330.80 / $6,371.04 / $7,518.68	Professional		$5,330.80	$6,371.04	$7,518.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $678.12 / $879.74 / $1,254.01	Facility		$678.12	$879.74	$1,254.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $863.65 / $1,209.10 / $1,606.39	Professional		$863.65	$1,209.10	$1,606.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $722.91 / $916.86 / $1,453.06	Professional		$722.91	$916.86	$1,453.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.40 / $876.35 / $1,290.89	Facility		$676.40	$876.35	$1,290.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $752.03 / $1,004.19 / $1,606.74	Professional		$752.03	$1,004.19	$1,606.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $684.80 / $913.07 / $1,355.01	Professional		$684.80	$913.07	$1,355.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $833.51 / $1,165.64	Professional		$737.10	$833.51	$1,165.64