Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.46 / $3,596.00 / $10,836.00	Facility		$804.46	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.94 / $779.58 / $1,053.66	Professional		$650.94	$779.58	$1,053.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.07 / $822.84 / $1,146.39	Professional		$650.07	$822.84	$1,146.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $678.35 / $678.35 / $678.35	Facility		$678.35	$678.35	$678.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.78 / $976.23 / $1,569.04	Professional		$739.78	$976.23	$1,569.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,777.60	Facility		$55.00	$55.00	$12,777.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,761.84 / $7,761.84 / $7,761.84	Professional		$7,761.84	$7,761.84	$7,761.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $692.65 / $967.93 / $1,777.15	Facility		$692.65	$967.93	$1,777.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $760.01 / $1,057.10 / $1,243.66	Professional		$760.01	$1,057.10	$1,243.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,410.20 / $1,410.20 / $1,410.20	Professional		$1,410.20	$1,410.20	$1,410.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $692.65 / $974.76 / $1,812.31	Facility		$692.65	$974.76	$1,812.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $745.57 / $996.35 / $1,592.65	Professional		$745.57	$996.35	$1,592.65
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $594.76 / $817.84 / $1,263.86	Professional		$594.76	$817.84	$1,263.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $589.67 / $672.74 / $925.09	Professional		$589.67	$672.74	$925.09