Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.38 / $3,669.00 / $12,040.00	Facility		$938.38	$3,669.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.69 / $867.13 / $1,238.22	Professional		$757.69	$867.13	$1,238.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,272.77 / $3,947.00 / $7,569.24	Facility		$2,272.77	$3,947.00	$7,569.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $797.51 / $1,009.45 / $1,406.40	Professional		$797.51	$1,009.45	$1,406.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $745.78 / $745.78 / $745.78	Facility		$745.78	$745.78	$745.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.31 / $1,186.72 / $1,812.56	Professional		$864.31	$1,186.72	$1,812.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,592.40	Facility		$55.00	$55.00	$7,592.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,407.94 / $6,407.94 / $7,259.70	Professional		$6,407.94	$6,407.94	$7,259.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $834.99 / $1,122.44 / $1,999.50	Facility		$834.99	$1,122.44	$1,999.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,089.53 / $1,282.29 / $1,508.58	Professional		$1,089.53	$1,282.29	$1,508.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,143.90 / $1,143.90 / $1,143.90	Professional		$1,143.90	$1,143.90	$1,143.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $835.53 / $1,145.41 / $2,223.34	Facility		$835.53	$1,145.41	$2,223.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $864.31 / $1,220.04 / $1,903.95	Professional		$864.31	$1,220.04	$1,903.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,284.00 / $4,063.00 / $8,759.00	Facility		$1,284.00	$4,063.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $720.93 / $956.98 / $1,531.97	Professional		$720.93	$956.98	$1,531.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $715.29 / $817.40 / $1,127.97	Professional		$715.29	$817.40	$1,127.97