Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $3,596.00 / $10,836.00	Facility		$714.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.41 / $616.05 / $854.72	Professional		$554.41	$616.05	$854.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $527.33 / $552.52 / $637.22	Professional		$527.33	$552.52	$637.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $523.09 / $523.09 / $523.09	Facility		$523.09	$523.09	$523.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.79 / $783.44 / $1,216.06	Professional		$599.79	$783.44	$1,216.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,681.67	Facility		$55.00	$55.00	$4,681.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,060.00 / $11,060.00 / $11,060.00	Professional		$11,060.00	$11,060.00	$11,060.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $576.48 / $745.50 / $1,575.00	Facility		$576.48	$745.50	$1,575.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $740.51 / $871.52 / $1,025.32	Professional		$740.51	$871.52	$1,025.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $879.40 / $879.40 / $879.40	Professional		$879.40	$879.40	$879.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $576.48 / $748.61 / $1,612.86	Facility		$576.48	$748.61	$1,612.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $601.62 / $793.29 / $1,321.50	Professional		$601.62	$793.29	$1,321.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.09 / $669.92 / $1,030.73	Professional		$486.09	$669.92	$1,030.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $486.15 / $555.55 / $769.24	Professional		$486.15	$555.55	$769.24