Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,186.00 / $10,893.00	Facility		$797.00	$3,186.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.91 / $805.57 / $1,183.26	Professional		$734.91	$805.57	$1,183.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $762.09 / $1,289.09 / $5,235.97	Facility		$762.09	$1,289.09	$5,235.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.66 / $816.17 / $1,223.47	Professional		$613.66	$816.17	$1,223.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $680.47 / $680.47 / $680.47	Facility		$680.47	$680.47	$680.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $777.41 / $1,031.91 / $1,605.08	Professional		$777.41	$1,031.91	$1,605.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $6,110.86	Facility		$55.00	$2,000.00	$6,110.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,219.71 / $6,219.71 / $6,368.40	Professional		$6,219.71	$6,219.71	$6,368.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $753.43 / $998.84 / $1,782.50	Facility		$753.43	$998.84	$1,782.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $966.75 / $1,137.78 / $1,338.57	Professional		$966.75	$1,137.78	$1,338.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,069.40 / $1,069.40 / $1,069.40	Professional		$1,069.40	$1,069.40	$1,069.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $753.43 / $998.84 / $1,934.16	Facility		$753.43	$998.84	$1,934.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $782.46 / $1,050.84 / $1,711.38	Professional		$782.46	$1,050.84	$1,711.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $660.87 / $875.31 / $1,428.74	Professional		$660.87	$875.31	$1,428.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $634.67 / $726.02 / $1,004.04	Professional		$634.67	$726.02	$1,004.04