Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,596.00 / $10,836.00	Facility		$788.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.10 / $723.40 / $863.52	Professional		$631.10	$723.40	$863.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.90 / $744.14 / $1,036.75	Professional		$587.90	$744.14	$1,036.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $621.57 / $621.57 / $621.57	Facility		$621.57	$621.57	$621.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.36 / $862.61 / $1,364.66	Professional		$664.36	$862.61	$1,364.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,084.65	Facility		$55.00	$55.00	$3,084.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,559.51 / $5,559.51 / $5,559.51	Professional		$5,559.51	$5,559.51	$5,559.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $634.33 / $781.27 / $1,438.22	Facility		$634.33	$781.27	$1,438.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $810.32 / $934.98 / $1,090.81	Professional		$810.32	$934.98	$1,090.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $612.84 / $670.09 / $1,079.95	Professional		$612.84	$670.09	$1,079.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $634.33 / $788.27 / $1,474.95	Facility		$634.33	$788.27	$1,474.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $664.36 / $895.96 / $1,459.01	Professional		$664.36	$895.96	$1,459.01
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 $542.70 / $716.54 / $1,152.19	Professional		$542.70	$716.54	$1,152.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $531.98 / $607.71 / $835.10	Professional		$531.98	$607.71	$835.10