Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.84 / $3,596.00 / $12,281.00	Facility		$871.84	$3,596.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.05 / $559.69 / $802.08	Professional		$489.05	$559.69	$802.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.60 / $900.85 / $4,353.00	Facility		$524.60	$900.85	$4,353.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.10 / $644.40 / $897.79	Professional		$509.10	$644.40	$897.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $493.85 / $493.85 / $493.85	Facility		$493.85	$493.85	$493.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.01 / $741.31 / $1,163.83	Professional		$556.01	$741.31	$1,163.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $3,188.10	Facility		$55.00	$2,000.00	$3,188.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,983.09 / $7,983.09 / $7,983.09	Professional		$7,983.09	$7,983.09	$7,983.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $541.79 / $686.91 / $1,475.40	Facility		$541.79	$686.91	$1,475.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $705.60 / $830.44 / $976.99	Professional		$705.60	$830.44	$976.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $733.60 / $733.60 / $733.60	Professional		$733.60	$733.60	$733.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $541.79 / $692.00 / $1,475.40	Facility		$541.79	$692.00	$1,475.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $556.01 / $750.00 / $1,199.01	Professional		$556.01	$750.00	$1,199.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.48 / $612.48 / $979.66	Professional		$449.48	$612.48	$979.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $463.24 / $528.39 / $733.36	Professional		$463.24	$528.39	$733.36