Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,550.00 / $7,542.00	Facility		$652.00	$2,550.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.12 / $751.02 / $1,126.49	Professional		$587.12	$751.02	$1,126.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,505.69 / $2,596.38 / $5,793.18	Facility		$1,505.69	$2,596.38	$5,793.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.38 / $813.10 / $1,181.35	Professional		$642.38	$813.10	$1,181.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $597.35 / $597.35 / $832.13	Facility		$597.35	$597.35	$832.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.47 / $928.02 / $1,402.68	Professional		$705.47	$928.02	$1,402.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,808.28 / $16,394.00 / $16,394.00	Facility		$4,808.28	$16,394.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,083.04 / $6,137.60 / $7,145.78	Professional		$5,083.04	$6,137.60	$7,145.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $656.36 / $849.87 / $1,221.64	Facility		$656.36	$849.87	$1,221.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $826.13 / $1,156.58 / $1,536.60	Professional		$826.13	$1,156.58	$1,536.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $653.83 / $828.30 / $1,091.54	Professional		$653.83	$828.30	$1,091.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $656.15 / $849.87 / $1,236.56	Facility		$656.15	$849.87	$1,236.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $727.15 / $958.54 / $1,538.01	Professional		$727.15	$958.54	$1,538.01
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,064.00 / $4,554.00	Facility		$597.00	$2,064.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $654.74 / $871.20 / $1,325.10	Professional		$654.74	$871.20	$1,325.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $705.08 / $797.75 / $1,116.84	Professional		$705.08	$797.75	$1,116.84