Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.79 / $3,060.00 / $10,234.00	Facility		$713.79	$3,060.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.44 / $705.71 / $1,051.10	Professional		$574.44	$705.71	$1,051.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,501.21 / $2,580.16 / $5,468.63	Facility		$1,501.21	$2,580.16	$5,468.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.14 / $752.19 / $1,100.50	Professional		$597.14	$752.19	$1,100.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $551.30 / $551.30 / $771.43	Facility		$551.30	$551.30	$771.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.66 / $862.03 / $1,324.59	Professional		$657.66	$862.03	$1,324.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,476.54 / $26,542.00 / $26,542.00	Facility		$4,476.54	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,742.56 / $5,701.68 / $6,597.00	Professional		$4,742.56	$5,701.68	$6,597.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $609.03 / $801.19 / $1,156.49	Facility		$609.03	$801.19	$1,156.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $764.99 / $1,070.99 / $1,422.88	Professional		$764.99	$1,070.99	$1,422.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $613.66 / $813.10 / $1,288.28	Professional		$613.66	$813.10	$1,288.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $609.03 / $799.92 / $1,170.79	Facility		$609.03	$799.92	$1,170.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $686.07 / $903.59 / $1,449.08	Professional		$686.07	$903.59	$1,449.08
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,064.00 / $4,554.00	Facility		$597.00	$2,064.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $619.64 / $824.12 / $1,234.13	Professional		$619.64	$824.12	$1,234.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $652.90 / $739.18 / $1,034.84	Professional		$652.90	$739.18	$1,034.84