Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.43 / $3,596.00 / $10,836.00	Facility		$904.43	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.95 / $982.40 / $1,431.00	Professional		$882.95	$982.40	$1,431.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $935.03 / $1,642.63 / $8,121.78	Facility		$935.03	$1,642.63	$8,121.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $845.22 / $1,069.83 / $1,490.53	Professional		$845.22	$1,069.83	$1,490.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $825.35 / $825.35 / $825.35	Facility		$825.35	$825.35	$825.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.65 / $1,253.50 / $1,939.79	Professional		$952.65	$1,253.50	$1,939.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,501.44	Facility		$55.00	$55.00	$8,501.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,127.82 / $7,127.82 / $7,747.88	Professional		$7,127.82	$7,127.82	$7,747.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $918.99 / $1,223.13 / $2,060.58	Facility		$918.99	$1,223.13	$2,060.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $995.92 / $1,385.23 / $1,629.68	Professional		$995.92	$1,385.23	$1,629.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,326.30 / $1,326.30 / $1,326.30	Professional		$1,326.30	$1,326.30	$1,326.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $918.99 / $1,231.98 / $2,282.98	Facility		$918.99	$1,231.98	$2,282.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $952.65 / $1,272.23 / $2,109.41	Professional		$952.65	$1,272.23	$2,109.41
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 $776.94 / $1,069.17 / $1,650.99	Professional		$776.94	$1,069.17	$1,650.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $772.71 / $884.78 / $1,222.17	Professional		$772.71	$884.78	$1,222.17