Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,596.00 / $10,893.00	Facility		$895.00	$3,596.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.81 / $860.32 / $1,396.02	Professional		$738.81	$860.32	$1,396.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $881.57 / $1,549.03 / $4,891.43	Facility		$881.57	$1,549.03	$4,891.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.00 / $1,118.16 / $1,551.87	Professional		$880.00	$1,118.16	$1,551.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $830.53 / $830.53 / $830.53	Facility		$830.53	$830.53	$830.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.65 / $1,190.39 / $1,772.33	Professional		$891.65	$1,190.39	$1,772.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,447.30	Facility		$55.00	$55.00	$7,447.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,621.84 / $6,830.80 / $8,274.00	Professional		$6,621.84	$6,830.80	$8,274.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $900.66 / $1,122.83 / $2,050.56	Facility		$900.66	$1,122.83	$2,050.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,019.04 / $1,417.39 / $1,667.52	Professional		$1,019.04	$1,417.39	$1,667.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,217.59 / $1,217.59 / $1,217.59	Professional		$1,217.59	$1,217.59	$1,217.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $900.99 / $1,139.28 / $2,102.92	Facility		$900.99	$1,139.28	$2,102.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $900.55 / $1,233.75 / $1,809.37	Professional		$900.55	$1,233.75	$1,809.37
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $741.10 / $1,037.54 / $1,659.61	Professional		$741.10	$1,037.54	$1,659.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $790.65 / $900.66 / $1,236.14	Professional		$790.65	$900.66	$1,236.14