Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,570.00 / $10,836.00	Facility		$803.00	$3,570.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.32 / $838.16 / $1,325.60	Professional		$701.32	$838.16	$1,325.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.77 / $1,477.85 / $6,039.91	Facility		$888.77	$1,477.85	$6,039.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $828.75 / $1,060.27 / $1,471.53	Professional		$828.75	$1,060.27	$1,471.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $787.17 / $787.17 / $787.17	Facility		$787.17	$787.17	$787.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.08 / $1,173.86 / $1,761.79	Professional		$863.08	$1,173.86	$1,761.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,069.30	Facility		$55.00	$55.00	$7,069.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,284.08 / $6,480.56 / $7,857.98	Professional		$6,284.08	$6,480.56	$7,857.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $855.26 / $1,135.39 / $1,942.28	Facility		$855.26	$1,135.39	$1,942.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $967.45 / $1,345.64 / $1,583.10	Professional		$967.45	$1,345.64	$1,583.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,145.20 / $1,145.20 / $1,145.20	Professional		$1,145.20	$1,145.20	$1,145.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $859.32 / $1,155.14 / $1,991.89	Facility		$859.32	$1,155.14	$1,991.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $863.95 / $1,189.70 / $1,902.10	Professional		$863.95	$1,189.70	$1,902.10
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 $705.21 / $1,004.39 / $1,573.55	Professional		$705.21	$1,004.39	$1,573.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.63 / $854.94 / $1,173.49	Professional		$750.63	$854.94	$1,173.49