Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,682.00 / $10,836.00	Facility		$788.00	$3,682.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.61 / $674.27 / $810.76	Professional		$587.61	$674.27	$810.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.39 / $1,107.39 / $4,337.27	Facility		$639.39	$1,107.39	$4,337.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $548.50 / $694.27 / $967.27	Professional		$548.50	$694.27	$967.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $548.19 / $548.19 / $548.19	Facility		$548.19	$548.19	$548.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.98 / $846.11 / $1,346.31	Professional		$621.98	$846.11	$1,346.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,998.18	Facility		$55.00	$55.00	$13,998.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,194.64 / $4,295.84 / $5,088.30	Professional		$4,194.64	$4,295.84	$5,088.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $573.39 / $708.00 / $1,397.42	Facility		$573.39	$708.00	$1,397.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $751.44 / $867.05 / $1,011.55	Professional		$751.44	$867.05	$1,011.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $545.47 / $600.02 / $991.51	Professional		$545.47	$600.02	$991.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $573.39 / $711.26 / $1,430.38	Facility		$573.39	$711.26	$1,430.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $619.85 / $865.59 / $1,475.57	Professional		$619.85	$865.59	$1,475.57
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 $515.20 / $693.08 / $1,105.43	Professional		$515.20	$693.08	$1,105.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $493.33 / $566.40 / $772.39	Professional		$493.33	$566.40	$772.39