Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,186.00 / $10,893.00	Facility		$797.00	$3,186.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.05 / $719.71 / $1,050.55	Professional		$626.05	$719.71	$1,050.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.46 / $837.47 / $1,166.48	Professional		$661.46	$837.47	$1,166.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $619.92 / $619.92 / $619.92	Facility		$619.92	$619.92	$619.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.29 / $979.28 / $1,506.21	Professional		$716.29	$979.28	$1,506.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,688.20	Facility		$55.00	$55.00	$5,688.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,148.88 / $5,311.04 / $6,033.38	Professional		$5,148.88	$5,311.04	$6,033.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $692.16 / $886.76 / $1,516.61	Facility		$692.16	$886.76	$1,516.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $904.93 / $1,065.03 / $1,252.98	Professional		$904.93	$1,065.03	$1,252.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $825.60 / $825.60 / $825.60	Professional		$825.60	$825.60	$825.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $692.50 / $898.02 / $1,552.37	Facility		$692.50	$898.02	$1,552.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $716.29 / $992.18 / $1,577.34	Professional		$716.29	$992.18	$1,577.34
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 $594.17 / $783.02 / $1,249.81	Professional		$594.17	$783.02	$1,249.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $594.10 / $678.12 / $937.13	Professional		$594.10	$678.12	$937.13