Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,596.00 / $10,836.00	Facility		$657.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.87 / $525.49 / $719.78	Professional		$458.87	$525.49	$719.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.45 / $517.00 / $720.30	Professional		$408.45	$517.00	$720.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $408.18 / $408.18 / $408.18	Facility		$408.18	$408.18	$408.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.12 / $796.52 / $1,375.04	Professional		$476.12	$796.52	$1,375.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,449.84	Facility		$55.00	$55.00	$5,449.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,190.30 / $3,197.04 / $3,780.08	Professional		$3,190.30	$3,197.04	$3,780.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.15 / $547.22 / $1,302.46	Facility		$426.15	$547.22	$1,302.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $558.42 / $644.34 / $751.73	Professional		$558.42	$644.34	$751.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $406.15 / $443.60 / $747.06	Professional		$406.15	$443.60	$747.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.15 / $552.79 / $1,302.46	Facility		$426.15	$552.79	$1,302.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $463.04 / $798.70 / $1,366.81	Professional		$463.04	$798.70	$1,366.81
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 $501.35 / $685.13 / $1,109.25	Professional		$501.35	$685.13	$1,109.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $366.62 / $420.94 / $574.04	Professional		$366.62	$420.94	$574.04