Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.00 / $3,110.00 / $9,961.00	Facility		$733.00	$3,110.00	$9,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.42 / $1,098.79 / $1,663.52	Professional		$201.42	$1,098.79	$1,663.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.62 / $377.84 / $1,972.52	Facility		$226.62	$377.84	$1,972.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.35 / $975.40 / $1,965.01	Professional		$189.35	$975.40	$1,965.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $181.46 / $181.46 / $181.46	Facility		$181.46	$181.46	$181.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.51 / $483.01 / $2,055.19	Professional		$238.51	$483.01	$2,055.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,196.60	Facility		$55.00	$55.00	$2,196.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,502.76 / $8,591.92 / $10,119.29	Professional		$4,502.76	$8,591.92	$10,119.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.15 / $831.74 / $2,036.69	Facility		$205.15	$831.74	$2,036.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.39 / $1,277.72 / $2,032.73	Professional		$262.39	$1,277.72	$2,032.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,651.80 / $1,651.80 / $1,651.80	Professional		$1,651.80	$1,651.80	$1,651.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.15 / $985.87 / $2,404.36	Facility		$205.15	$985.87	$2,404.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.51 / $597.64 / $2,212.03	Professional		$238.51	$597.64	$2,212.03
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.50 / $1,443.56 / $2,374.34	Professional		$1,047.50	$1,443.56	$2,374.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $991.36 / $1,104.61 / $1,576.95	Professional		$991.36	$1,104.61	$1,576.95