Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.64 / $3,596.00 / $10,836.00	Facility		$848.64	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.75 / $848.27 / $1,266.71	Professional		$765.75	$848.27	$1,266.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $885.78 / $1,464.25 / $7,552.65	Facility		$885.78	$1,464.25	$7,552.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $784.43 / $999.71 / $1,392.83	Professional		$784.43	$999.71	$1,392.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $812.67 / $812.67 / $812.67	Facility		$812.67	$812.67	$812.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.99 / $1,167.04 / $1,814.29	Professional		$893.99	$1,167.04	$1,814.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,572.04	Facility		$55.00	$55.00	$12,572.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,002.00 / $11,002.00 / $11,002.00	Professional		$11,002.00	$11,002.00	$11,002.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $823.92 / $1,162.19 / $1,932.23	Facility		$823.92	$1,162.19	$1,932.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $921.55 / $1,281.79 / $1,507.99	Professional		$921.55	$1,281.79	$1,507.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,490.70 / $1,490.70 / $1,490.70	Professional		$1,490.70	$1,490.70	$1,490.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $823.92 / $1,162.50 / $2,160.00	Facility		$823.92	$1,162.50	$2,160.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $906.49 / $1,194.21 / $1,938.95	Professional		$906.49	$1,194.21	$1,938.95
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 $727.86 / $1,000.80 / $1,658.60	Professional		$727.86	$1,000.80	$1,658.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $715.01 / $817.23 / $1,120.66	Professional		$715.01	$817.23	$1,120.66