Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.92 / $3,682.00 / $12,281.00	Facility		$880.92	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.86 / $623.01 / $991.51	Professional		$466.86	$623.01	$991.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.86 / $641.17 / $878.17	Professional		$517.86	$641.17	$878.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $486.96 / $486.96 / $508.53	Facility		$486.96	$486.96	$508.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.04 / $1,263.04 / $1,304.32	Facility		$1,263.04	$1,263.04	$1,304.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.72 / $703.29 / $1,026.27	Professional		$536.72	$703.29	$1,026.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,819.45 / $26,542.00 / $26,542.00	Facility		$5,819.45	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,151.12 / $4,279.20 / $4,723.50	Professional		$4,151.12	$4,279.20	$4,723.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $533.89 / $665.57 / $1,004.88	Facility		$533.89	$665.57	$1,004.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $533.89 / $828.23 / $4,663.00	Professional		$533.89	$828.23	$4,663.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $522.16 / $563.53 / $662.50	Professional		$522.16	$563.53	$662.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $533.89 / $672.85 / $1,106.54	Facility		$533.89	$672.85	$1,106.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $535.19 / $724.03 / $1,062.21	Professional		$535.19	$724.03	$1,062.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,264.00 / $7,600.00	Facility		$1,120.00	$3,264.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.24 / $570.14 / $864.03	Professional		$426.24	$570.14	$864.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $471.24 / $533.89 / $748.76	Professional		$471.24	$533.89	$748.76