Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.52 / $3,570.00 / $10,836.00	Facility		$777.52	$3,570.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.34 / $667.37 / $1,042.50	Professional		$577.34	$667.37	$1,042.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.82 / $1,100.00 / $5,376.40	Facility		$649.82	$1,100.00	$5,376.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.29 / $773.75 / $1,078.00	Professional		$611.29	$773.75	$1,078.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $616.53 / $616.53 / $616.53	Facility		$616.53	$616.53	$616.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.88 / $902.28 / $1,379.16	Professional		$665.88	$902.28	$1,379.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,567.56	Facility		$55.00	$55.00	$4,567.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,443.68 / $5,443.68 / $5,587.73	Professional		$5,443.68	$5,443.68	$5,587.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $647.28 / $834.42 / $1,453.94	Facility		$647.28	$834.42	$1,453.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $843.95 / $993.26 / $1,168.54	Professional		$843.95	$993.26	$1,168.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $897.30 / $897.30 / $897.30	Professional		$897.30	$897.30	$897.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $647.28 / $843.14 / $1,593.12	Facility		$647.28	$843.14	$1,593.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $665.88 / $920.19 / $1,464.25	Professional		$665.88	$920.19	$1,464.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,284.00 / $4,063.00 / $8,095.00	Facility		$1,284.00	$4,063.00	$8,095.00
United Facility/Professional Professional Modifier Low / Median / High Price $537.64 / $720.11 / $1,161.76	Professional		$537.64	$720.11	$1,161.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $554.05 / $631.82 / $876.29	Professional		$554.05	$631.82	$876.29