Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.65 / $3,511.00 / $10,836.00	Facility		$838.65	$3,511.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.53 / $838.65 / $1,304.95	Professional		$733.53	$838.65	$1,304.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.52 / $1,351.93 / $4,275.00	Facility		$814.52	$1,351.93	$4,275.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $682.00 / $975.95 / $1,359.71	Professional		$682.00	$975.95	$1,359.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $722.23 / $722.23 / $722.23	Facility		$722.23	$722.23	$722.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.28 / $1,144.64 / $1,753.03	Professional		$834.28	$1,144.64	$1,753.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,627.60	Facility		$55.00	$55.00	$6,627.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,001.52 / $6,188.48 / $7,029.45	Professional		$6,001.52	$6,188.48	$7,029.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $808.23 / $1,081.21 / $1,780.19	Facility		$808.23	$1,081.21	$1,780.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $892.38 / $1,241.21 / $1,460.25	Professional		$892.38	$1,241.21	$1,460.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,064.70 / $1,064.70 / $1,064.70	Professional		$1,064.70	$1,064.70	$1,064.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $808.83 / $1,081.21 / $1,822.17	Facility		$808.83	$1,081.21	$1,822.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $834.28 / $1,166.85 / $1,787.98	Professional		$834.28	$1,166.85	$1,787.98
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $668.22 / $917.35 / $1,459.60	Professional		$668.22	$917.35	$1,459.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $692.38 / $790.88 / $1,091.92	Professional		$692.38	$790.88	$1,091.92