Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.00 / $3,174.00 / $10,546.00	Facility		$799.00	$3,174.00	$10,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.10 / $784.72 / $1,279.71	Professional		$637.10	$784.72	$1,279.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $802.95 / $1,328.54 / $6,752.00	Facility		$802.95	$1,328.54	$6,752.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.29 / $891.49 / $1,307.08	Professional		$670.29	$891.49	$1,307.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $716.17 / $716.17 / $716.17	Facility		$716.17	$716.17	$716.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $782.91 / $1,053.89 / $1,601.79	Professional		$782.91	$1,053.89	$1,601.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,421.52	Facility		$55.00	$55.00	$6,421.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,709.84 / $5,890.96 / $7,127.25	Professional		$5,709.84	$5,890.96	$7,127.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.95 / $1,027.16 / $1,756.97	Facility		$776.95	$1,027.16	$1,756.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,037.80 / $1,221.41 / $1,436.96	Professional		$1,037.80	$1,221.41	$1,436.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,043.09 / $1,043.09 / $1,043.09	Professional		$1,043.09	$1,043.09	$1,043.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $783.16 / $1,039.28 / $1,801.84	Facility		$783.16	$1,039.28	$1,801.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $782.91 / $1,076.79 / $1,672.77	Professional		$782.91	$1,076.79	$1,672.77
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 $647.13 / $891.87 / $1,441.16	Professional		$647.13	$891.87	$1,441.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $681.33 / $775.58 / $1,065.68	Professional		$681.33	$775.58	$1,065.68