Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.46 / $3,596.00 / $10,836.00	Facility		$893.46	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.98 / $919.22 / $1,106.50	Professional		$802.98	$919.22	$1,106.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.96 / $951.79 / $1,326.06	Professional		$751.96	$951.79	$1,326.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $752.26 / $752.26 / $752.26	Facility		$752.26	$752.26	$752.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $857.64 / $1,147.18 / $1,779.46	Professional		$857.64	$1,147.18	$1,779.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,120.99	Facility		$55.00	$55.00	$10,120.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,151.00 / $10,151.00 / $10,151.00	Professional		$10,151.00	$10,151.00	$10,151.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $857.64 / $1,148.26 / $2,279.17	Facility		$857.64	$1,148.26	$2,279.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.65 / $1,198.44 / $1,398.18	Professional		$1,038.65	$1,198.44	$1,398.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,323.70 / $1,323.70 / $1,323.70	Professional		$1,323.70	$1,323.70	$1,323.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $857.64 / $1,168.07 / $2,279.17	Facility		$857.64	$1,168.07	$2,279.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $857.64 / $1,167.81 / $1,999.27	Professional		$857.64	$1,167.81	$1,999.27
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,547.00 / $9,000.00	Facility		$495.00	$2,547.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.00 / $960.31 / $1,520.78	Professional		$713.00	$960.31	$1,520.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $681.89 / $781.63 / $1,066.99	Professional		$681.89	$781.63	$1,066.99