Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.04 / $3,596.00 / $10,836.00	Facility		$813.04	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.55 / $813.04 / $1,188.08	Professional		$745.55	$813.04	$1,188.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $785.83 / $1,299.03 / $5,646.00	Facility		$785.83	$1,299.03	$5,646.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.32 / $885.17 / $1,233.24	Professional		$699.32	$885.17	$1,233.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $684.42 / $684.42 / $684.42	Facility		$684.42	$684.42	$684.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.54 / $1,038.60 / $1,616.71	Professional		$788.54	$1,038.60	$1,616.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,153.84	Facility		$55.00	$55.00	$6,153.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,677.00 / $9,677.00 / $9,677.00	Professional		$9,677.00	$9,677.00	$9,677.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $760.46 / $1,010.91 / $1,702.25	Facility		$760.46	$1,010.91	$1,702.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $973.47 / $1,145.69 / $1,347.88	Professional		$973.47	$1,145.69	$1,347.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.40 / $1,114.40 / $1,114.40	Professional		$1,114.40	$1,114.40	$1,114.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $760.46 / $1,025.94 / $1,829.34	Facility		$760.46	$1,025.94	$1,829.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $788.54 / $1,056.88 / $1,751.71	Professional		$788.54	$1,056.88	$1,751.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,166.00 / $10,476.00	Facility		$1,634.00	$4,166.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $642.10 / $870.51 / $1,364.47	Professional		$642.10	$870.51	$1,364.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $639.10 / $731.44 / $1,011.02	Professional		$639.10	$731.44	$1,011.02