Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.11 / $3,596.00 / $10,836.00	Facility		$785.11	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.04 / $661.89 / $1,000.15	Professional		$618.04	$661.89	$1,000.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $685.88 / $1,168.80 / $7,901.00	Facility		$685.88	$1,168.80	$7,901.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.83 / $790.89 / $1,101.88	Professional		$624.83	$790.89	$1,101.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $655.33 / $655.33 / $655.33	Facility		$655.33	$655.33	$655.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.96 / $903.47 / $1,413.92	Professional		$708.96	$903.47	$1,413.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,144.00	Facility		$55.00	$55.00	$6,144.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,351.00 / $9,351.00 / $9,351.00	Professional		$9,351.00	$9,351.00	$9,351.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $654.26 / $856.44 / $1,650.75	Facility		$654.26	$856.44	$1,650.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $730.13 / $1,015.54 / $1,194.75	Professional		$730.13	$1,015.54	$1,194.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,098.50 / $1,098.50 / $1,098.50	Professional		$1,098.50	$1,098.50	$1,098.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $654.26 / $873.32 / $1,741.79	Facility		$654.26	$873.32	$1,741.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $719.24 / $928.05 / $1,461.90	Professional		$719.24	$928.05	$1,461.90
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 $531.50 / $743.86 / $1,232.05	Professional		$531.50	$743.86	$1,232.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $566.49 / $645.26 / $889.38	Professional		$566.49	$645.26	$889.38