Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,596.00 / $10,836.00	Facility		$872.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.01 / $820.58 / $1,160.77	Professional		$717.01	$820.58	$1,160.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $811.44 / $1,371.62 / $7,901.00	Facility		$811.44	$1,371.62	$7,901.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.57 / $894.49 / $1,330.95	Professional		$667.57	$894.49	$1,330.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $706.52 / $706.52 / $706.52	Facility		$706.52	$706.52	$706.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.36 / $1,120.78 / $1,715.26	Professional		$816.36	$1,120.78	$1,715.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,484.87	Facility		$55.00	$55.00	$6,484.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,872.24 / $6,055.52 / $6,878.10	Professional		$5,872.24	$6,055.52	$6,878.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $790.83 / $1,050.38 / $1,741.22	Facility		$790.83	$1,050.38	$1,741.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $873.16 / $1,214.48 / $1,428.80	Professional		$873.16	$1,214.48	$1,428.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.50 / $1,051.50 / $1,051.50	Professional		$1,051.50	$1,051.50	$1,051.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $791.41 / $1,050.38 / $1,806.53	Facility		$791.41	$1,050.38	$1,806.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $816.36 / $1,137.02 / $1,751.36	Professional		$816.36	$1,137.02	$1,751.36
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 $678.03 / $898.59 / $1,446.68	Professional		$678.03	$898.59	$1,446.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $677.47 / $773.85 / $1,068.40	Professional		$677.47	$773.85	$1,068.40