Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,766.00 / $12,941.00	Facility		$983.00	$3,766.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.82 / $922.22 / $1,410.86	Professional		$805.82	$922.22	$1,410.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $897.92 / $1,498.74 / $5,877.00	Facility		$897.92	$1,498.74	$5,877.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $749.25 / $1,003.93 / $1,484.98	Professional		$749.25	$1,003.93	$1,484.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $793.93 / $793.93 / $793.93	Facility		$793.93	$793.93	$793.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $917.42 / $1,255.54 / $1,902.65	Professional		$917.42	$1,255.54	$1,902.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,289.10	Facility		$55.00	$55.00	$7,289.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,601.20 / $6,805.60 / $7,733.25	Professional		$6,601.20	$6,805.60	$7,733.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $889.06 / $1,190.73 / $1,964.33	Facility		$889.06	$1,190.73	$1,964.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $981.68 / $1,365.43 / $1,606.39	Professional		$981.68	$1,365.43	$1,606.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,188.90 / $1,188.90 / $1,188.90	Professional		$1,188.90	$1,188.90	$1,188.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $889.06 / $1,191.88 / $2,010.66	Facility		$889.06	$1,191.88	$2,010.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $920.49 / $1,280.83 / $1,975.37	Professional		$920.49	$1,280.83	$1,975.37
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 $762.55 / $1,054.39 / $1,682.82	Professional		$762.55	$1,054.39	$1,682.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $761.67 / $870.37 / $1,200.99	Professional		$761.67	$870.37	$1,200.99