Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,184.00 / $10,893.00	Facility		$767.00	$3,184.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.21 / $607.08 / $1,025.20	Professional		$506.21	$607.08	$1,025.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,471.15 / $4,663.00 / $8,872.32	Facility		$2,471.15	$4,663.00	$8,872.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.79 / $742.49 / $1,041.98	Professional		$603.79	$742.49	$1,041.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $590.96 / $590.96 / $596.47	Facility		$590.96	$590.96	$596.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.41 / $791.41 / $1,189.52	Professional		$628.41	$791.41	$1,189.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,102.00 / $26,542.00 / $26,542.00	Facility		$11,102.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $154.63 / $1,052.31 / $1,052.31	Facility	AS	$154.63	$1,052.31	$1,052.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,896.16 / $5,004.08 / $5,742.75	Professional		$4,896.16	$5,004.08	$5,742.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $598.49 / $736.95 / $1,020.49	Facility		$598.49	$736.95	$1,020.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $661.81 / $1,058.90 / $1,323.62	Professional		$661.81	$1,058.90	$1,323.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.03 / $690.60 / $925.99	Professional		$588.03	$690.60	$925.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $594.64 / $737.21 / $1,130.89	Facility		$594.64	$737.21	$1,130.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $640.21 / $854.64 / $1,351.66	Professional		$640.21	$854.64	$1,351.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $515.99 / $687.99 / $1,035.47	Professional		$515.99	$687.99	$1,035.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $564.83 / $640.83 / $892.92	Professional		$564.83	$640.83	$892.92