Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.21 / $3,596.00 / $10,836.00	Facility		$750.21	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.48 / $715.88 / $1,103.21	Professional		$622.48	$715.88	$1,103.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.65 / $959.94 / $1,500.40	Professional		$619.65	$959.94	$1,500.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $748.03 / $748.03 / $748.03	Facility		$748.03	$748.03	$748.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.73 / $1,015.65 / $1,499.91	Professional		$792.73	$1,015.65	$1,499.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,569.60	Facility		$55.00	$55.00	$8,569.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,277.52 / $5,389.60 / $6,791.25	Professional		$5,277.52	$5,389.60	$6,791.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $700.42 / $902.41 / $1,672.47	Facility		$700.42	$902.41	$1,672.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $824.77 / $1,147.18 / $1,349.62	Professional		$824.77	$1,147.18	$1,349.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $856.00 / $856.00 / $856.00	Professional		$856.00	$856.00	$856.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $700.42 / $918.23 / $1,711.91	Facility		$700.42	$918.23	$1,711.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $793.22 / $1,024.05 / $1,543.13	Professional		$793.22	$1,024.05	$1,543.13
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,546.00 / $9,000.00	Facility		$495.00	$2,546.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.05 / $831.19 / $1,304.42	Professional		$599.05	$831.19	$1,304.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $639.91 / $724.23 / $998.55	Professional		$639.91	$724.23	$998.55