Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,572.00 / $7,495.00	Facility		$803.00	$2,572.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.17 / $922.03 / $1,273.28	Professional		$766.17	$922.03	$1,273.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $845.91 / $1,418.67 / $4,510.55	Facility		$845.91	$1,418.67	$4,510.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.56 / $974.39 / $1,357.54	Professional		$764.56	$974.39	$1,357.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $796.98 / $796.98 / $796.98	Facility		$796.98	$796.98	$796.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $871.85 / $1,153.46 / $1,760.72	Professional		$871.85	$1,153.46	$1,760.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $15,106.24	Facility		$55.00	$55.00	$15,106.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,126.73 / $12,630.10 / $12,630.10	Professional		$8,126.73	$12,630.10	$12,630.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $818.85 / $1,131.99 / $2,007.60	Facility		$818.85	$1,131.99	$2,007.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.61 / $1,250.61 / $1,471.32	Professional		$1,062.61	$1,250.61	$1,471.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,420.40 / $1,420.40 / $1,420.40	Professional		$1,420.40	$1,420.40	$1,420.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $818.85 / $1,153.38 / $2,144.39	Facility		$818.85	$1,153.38	$2,144.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $878.05 / $1,166.26 / $1,860.41	Professional		$878.05	$1,166.26	$1,860.41
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 $706.20 / $971.03 / $1,500.68	Professional		$706.20	$971.03	$1,500.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $697.63 / $796.60 / $1,093.89	Professional		$697.63	$796.60	$1,093.89