Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,184.00 / $10,836.00	Facility		$797.00	$3,184.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.30 / $714.56 / $1,089.72	Professional		$631.30	$714.56	$1,089.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.24 / $1,148.40 / $5,923.48	Facility		$687.24	$1,148.40	$5,923.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.72 / $787.93 / $1,157.79	Professional		$580.72	$787.93	$1,157.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $615.13 / $615.13 / $615.13	Facility		$615.13	$615.13	$615.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.38 / $950.72 / $1,493.63	Professional		$707.38	$950.72	$1,493.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,645.29	Facility		$55.00	$55.00	$5,645.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,110.08 / $5,271.20 / $5,988.83	Professional		$5,110.08	$5,271.20	$5,988.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $686.97 / $902.77 / $1,612.00	Facility		$686.97	$902.77	$1,612.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $898.20 / $1,057.10 / $1,243.66	Professional		$898.20	$1,057.10	$1,243.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $563.70 / $563.70 / $563.70	Professional		$563.70	$563.70	$563.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $688.34 / $922.42 / $1,830.33	Facility		$688.34	$922.42	$1,830.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $710.92 / $972.57 / $1,553.56	Professional		$710.92	$972.57	$1,553.56
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 $575.37 / $774.55 / $1,238.95	Professional		$575.37	$774.55	$1,238.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $589.67 / $673.17 / $930.10	Professional		$589.67	$673.17	$930.10