Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $2,236.00 / $7,513.00	Facility		$632.00	$2,236.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.04 / $758.64 / $1,174.47	Professional		$658.04	$758.64	$1,174.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $6,055.00 / $9,037.00	Facility		$2,400.00	$6,055.00	$9,037.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.16 / $847.08 / $1,188.15	Professional		$684.16	$847.08	$1,188.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $636.16 / $658.84	Facility		$80.00	$636.16	$658.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.55 / $853.55 / $853.55	Facility		$853.55	$853.55	$853.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.39 / $958.93 / $1,482.58	Professional		$735.39	$958.93	$1,482.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $3,628.91	Facility		$55.00	$2,000.00	$3,628.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,344.32 / $5,464.40 / $6,378.98	Professional		$5,344.32	$5,464.40	$6,378.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $663.66 / $818.57 / $1,541.00	Facility		$663.66	$818.57	$1,541.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.18 / $1,094.60 / $1,357.32	Professional		$912.18	$1,094.60	$1,357.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $773.92 / $1,258.83 / $2,577.29	Professional		$773.92	$1,258.83	$2,577.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $663.66 / $834.30 / $1,569.37	Facility		$663.66	$834.30	$1,569.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $736.01 / $1,002.93 / $1,512.88	Professional		$736.01	$1,002.93	$1,512.88
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $559.29 / $772.59 / $1,217.38	Professional		$559.29	$772.59	$1,217.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $622.80 / $711.80 / $979.21	Professional		$622.80	$711.80	$979.21