Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,213.00 / $10,836.00	Facility		$797.00	$3,213.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.66 / $719.46 / $1,095.20	Professional		$628.66	$719.46	$1,095.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,958.09 / $10,055.40 / $19,976.73	Facility		$4,958.09	$10,055.40	$19,976.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.46 / $840.47 / $1,166.48	Professional		$661.46	$840.47	$1,166.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $618.54 / $618.54 / $618.54	Facility		$618.54	$618.54	$618.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.55 / $958.11 / $1,503.89	Professional		$715.55	$958.11	$1,503.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,298.90	Facility		$55.00	$55.00	$16,298.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,184.46 / $5,306.72 / $6,026.63	Professional		$5,184.46	$5,306.72	$6,026.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $692.87 / $908.97 / $1,517.37	Facility		$692.87	$908.97	$1,517.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $904.09 / $1,064.04 / $1,251.81	Professional		$904.09	$1,064.04	$1,251.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $640.70 / $640.70 / $640.70	Professional		$640.70	$640.70	$640.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $693.45 / $932.13 / $1,553.16	Facility		$693.45	$932.13	$1,553.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $715.55 / $993.60 / $1,566.60	Professional		$715.55	$993.60	$1,566.60
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 $595.04 / $807.93 / $1,264.48	Professional		$595.04	$807.93	$1,264.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $593.54 / $677.75 / $936.16	Professional		$593.54	$677.75	$936.16