Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.00 / $3,596.00 / $10,836.00	Facility		$799.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.93 / $769.52 / $919.48	Professional		$666.93	$769.52	$919.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,492.73 / $4,350.91 / $8,895.81	Facility		$2,492.73	$4,350.91	$8,895.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.57 / $788.45 / $1,086.85	Professional		$620.57	$788.45	$1,086.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $623.09 / $623.09 / $623.09	Facility		$623.09	$623.09	$623.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $984.28 / $1,547.90	Professional		$713.50	$984.28	$1,547.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,984.00	Facility		$55.00	$55.00	$7,984.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,784.08 / $4,903.92 / $5,856.68	Professional		$4,784.08	$4,903.92	$5,856.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $712.18 / $922.58 / $1,630.43	Facility		$712.18	$922.58	$1,630.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $861.20 / $993.69 / $1,192.43	Professional		$861.20	$993.69	$1,192.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $893.20 / $893.20 / $893.20	Professional		$893.20	$893.20	$893.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $712.18 / $931.90 / $1,741.94	Facility		$712.18	$931.90	$1,741.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $712.41 / $990.46 / $1,680.90	Professional		$712.41	$990.46	$1,680.90
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 $619.76 / $807.52 / $1,304.08	Professional		$619.76	$807.52	$1,304.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $565.39 / $648.64 / $884.24	Professional		$565.39	$648.64	$884.24