Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.07 / $3,596.00 / $10,836.00	Facility		$817.07	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.09 / $817.07 / $976.45	Professional		$708.09	$817.07	$976.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.01 / $841.15 / $1,146.21	Professional		$660.01	$841.15	$1,146.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $662.45 / $662.45 / $662.45	Facility		$662.45	$662.45	$662.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.35 / $990.75 / $1,512.92	Professional		$752.35	$990.75	$1,512.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,908.79	Facility		$55.00	$55.00	$8,908.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,082.96 / $5,212.72 / $6,222.60	Professional		$5,082.96	$5,212.72	$6,222.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $739.05 / $964.01 / $1,628.14	Facility		$739.05	$964.01	$1,628.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $915.02 / $1,055.79 / $1,266.95	Professional		$915.02	$1,055.79	$1,266.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $843.10 / $1,316.13 / $2,640.58	Professional		$843.10	$1,316.13	$2,640.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $739.05 / $970.45 / $1,851.78	Facility		$739.05	$970.45	$1,851.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $757.15 / $1,043.66 / $1,613.13	Professional		$757.15	$1,043.66	$1,613.13
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 $654.29 / $850.74 / $1,314.78	Professional		$654.29	$850.74	$1,314.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $600.72 / $689.30 / $939.42	Professional		$600.72	$689.30	$939.42