Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,596.00 / $10,836.00	Facility		$788.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.05 / $743.93 / $1,105.95	Professional		$682.05	$743.93	$1,105.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $736.27 / $1,238.89 / $5,646.00	Facility		$736.27	$1,238.89	$5,646.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $682.08 / $863.35 / $1,202.84	Professional		$682.08	$863.35	$1,202.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $629.76 / $629.76 / $629.76	Facility		$629.76	$629.76	$629.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.80 / $979.33 / $1,511.05	Professional		$723.80	$979.33	$1,511.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,451.12	Facility		$55.00	$55.00	$6,451.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,940.68 / $5,940.68 / $5,940.68	Professional		$5,940.68	$5,940.68	$5,940.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $695.69 / $916.11 / $1,650.00	Facility		$695.69	$916.11	$1,650.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $755.39 / $1,050.68 / $1,236.09	Professional		$755.39	$1,050.68	$1,236.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,025.80 / $1,025.80 / $1,025.80	Professional		$1,025.80	$1,025.80	$1,025.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $695.69 / $916.11 / $1,843.92	Facility		$695.69	$916.11	$1,843.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $732.14 / $985.11 / $1,614.14	Professional		$732.14	$985.11	$1,614.14
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 $590.07 / $811.35 / $1,287.44	Professional		$590.07	$811.35	$1,287.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $586.09 / $670.27 / $927.36	Professional		$586.09	$670.27	$927.36