Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.22 / $3,596.00 / $10,836.00	Facility		$898.22	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.94 / $975.58 / $1,350.53	Professional		$876.94	$975.58	$1,350.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $929.93 / $1,562.93 / $6,055.00	Facility		$929.93	$1,562.93	$6,055.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $839.37 / $1,062.44 / $1,480.22	Professional		$839.37	$1,062.44	$1,480.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $819.42 / $819.42 / $819.42	Facility		$819.42	$819.42	$819.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $946.46 / $1,247.83 / $1,926.39	Professional		$946.46	$1,247.83	$1,926.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,441.12	Facility		$55.00	$55.00	$8,441.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,738.80 / $6,888.32 / $7,692.15	Professional		$6,738.80	$6,888.32	$7,692.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.64 / $1,214.63 / $2,046.08	Facility		$912.64	$1,214.63	$2,046.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $988.80 / $1,375.33 / $1,618.04	Professional		$988.80	$1,375.33	$1,618.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,378.20 / $1,378.20 / $1,378.20	Professional		$1,378.20	$1,378.20	$1,378.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.64 / $1,228.21 / $2,282.98	Facility		$912.64	$1,228.21	$2,282.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $946.46 / $1,267.14 / $2,094.73	Professional		$946.46	$1,267.14	$2,094.73
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 $771.45 / $1,060.74 / $1,639.33	Professional		$771.45	$1,060.74	$1,639.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $767.19 / $878.44 / $1,213.47	Professional		$767.19	$878.44	$1,213.47