Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,162.00 / $10,836.00	Facility		$748.00	$3,162.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.49 / $784.76 / $1,133.53	Professional		$613.49	$784.76	$1,133.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,501.21 / $2,580.16 / $5,456.92	Facility		$1,501.21	$2,580.16	$5,456.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.70 / $854.00 / $1,242.25	Professional		$674.70	$854.00	$1,242.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $625.53 / $625.53 / $850.43	Facility		$625.53	$625.53	$850.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.08 / $975.02 / $1,489.17	Professional		$735.08	$975.02	$1,489.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,973.04 / $26,542.00 / $26,542.00	Facility		$4,973.04	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,256.32 / $6,232.16 / $7,267.80	Professional		$5,256.32	$6,232.16	$7,267.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $693.11 / $881.71 / $1,284.48	Facility		$693.11	$881.71	$1,284.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $839.72 / $1,178.94 / $1,561.88	Professional		$839.72	$1,178.94	$1,561.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $691.91 / $893.21 / $1,411.94	Professional		$691.91	$893.21	$1,411.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $690.21 / $880.76 / $1,305.75	Facility		$690.21	$880.76	$1,305.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $770.66 / $1,027.55 / $1,624.02	Professional		$770.66	$1,027.55	$1,624.02
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 $700.10 / $929.31 / $1,396.91	Professional		$700.10	$929.31	$1,396.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $716.68 / $812.01 / $1,134.51	Professional		$716.68	$812.01	$1,134.51