Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,596.00 / $10,836.00	Facility		$657.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.68 / $456.64 / $708.62	Professional		$373.68	$456.64	$708.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.23 / $524.22 / $780.00	Professional		$391.23	$524.22	$780.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $416.29 / $416.29 / $416.29	Facility		$416.29	$416.29	$416.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.96 / $642.04 / $972.41	Professional		$462.96	$642.04	$972.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,866.63	Facility		$55.00	$55.00	$5,866.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,317.36 / $3,417.68 / $4,175.03	Professional		$3,317.36	$3,417.68	$4,175.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $454.73 / $639.86 / $1,066.58	Facility		$454.73	$639.86	$1,066.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.72 / $713.15 / $839.00	Professional		$512.72	$713.15	$839.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $695.00 / $695.00 / $695.00	Professional		$695.00	$695.00	$695.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.17 / $644.45 / $1,091.75	Facility		$456.17	$644.45	$1,091.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $464.36 / $645.41 / $1,003.51	Professional		$464.36	$645.41	$1,003.51
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 $407.09 / $552.77 / $886.43	Professional		$407.09	$552.77	$886.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $397.81 / $454.73 / $620.45	Professional		$397.81	$454.73	$620.45