Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.60 / $3,445.00 / $10,836.00	Facility		$652.60	$3,445.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.62 / $727.79 / $1,071.58	Professional		$560.62	$727.79	$1,071.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.32 / $877.11 / $3,463.19	Facility		$511.32	$877.11	$3,463.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.61 / $746.02 / $1,013.88	Professional		$536.61	$746.02	$1,013.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $551.30 / $551.30 / $802.65	Facility		$551.30	$551.30	$802.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.26 / $903.07 / $1,421.74	Professional		$666.26	$903.07	$1,421.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,590.84	Facility		$55.00	$55.00	$4,590.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,061.00 / $6,152.40 / $7,096.58	Professional		$5,061.00	$6,152.40	$7,096.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $609.36 / $823.12 / $1,210.81	Facility		$609.36	$823.12	$1,210.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $811.90 / $1,127.22 / $1,532.40	Professional		$811.90	$1,127.22	$1,532.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $633.73 / $940.82 / $1,924.40	Professional		$633.73	$940.82	$1,924.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $609.36 / $823.12 / $1,230.83	Facility		$609.36	$823.12	$1,230.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $679.84 / $937.15 / $1,573.83	Professional		$679.84	$937.15	$1,573.83
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 $682.10 / $909.46 / $1,318.72	Professional		$682.10	$909.46	$1,318.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $793.77 / $1,111.28	Professional		$703.15	$793.77	$1,111.28