Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,673.00 / $7,542.00	Facility		$803.00	$2,673.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.24 / $1,021.13 / $1,719.21	Professional		$912.24	$1,021.13	$1,719.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,063.81 / $3,687.04 / $7,675.53	Facility		$2,063.81	$3,687.04	$7,675.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $821.67 / $1,073.80 / $1,602.26	Professional		$821.67	$1,073.80	$1,602.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $881.01 / $2,979.97 / $2,979.97	Facility		$881.01	$2,979.97	$2,979.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.59 / $1,140.59 / $1,140.59	Facility		$1,140.59	$1,140.59	$1,140.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.96 / $112.96 / $112.96	Facility	AS	$112.96	$112.96	$112.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.40 / $1,344.34 / $2,093.81	Professional		$1,022.40	$1,344.34	$2,093.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,880.98	Facility		$55.00	$55.00	$6,880.98
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $227.13 / $646.16 / $646.16	Facility	AS	$227.13	$646.16	$646.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,241.20 / $7,420.16 / $8,566.95	Professional		$7,241.20	$7,420.16	$8,566.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $935.90 / $1,233.43 / $2,008.97	Facility		$935.90	$1,233.43	$2,008.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,229.58 / $1,475.49 / $1,829.61	Professional		$1,229.58	$1,475.49	$1,829.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.50 / $1,012.50 / $1,012.50	Professional		$1,012.50	$1,012.50	$1,012.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $943.33 / $1,235.35 / $2,174.40	Facility		$943.33	$1,235.35	$2,174.40
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $112.96 / $112.96 / $325.77	Facility	AS	$112.96	$112.96	$325.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,029.47 / $1,397.43 / $2,140.30	Professional		$1,029.47	$1,397.43	$2,140.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $833.59 / $1,102.33 / $1,747.58	Professional		$833.59	$1,102.33	$1,747.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $839.52 / $955.69 / $1,323.72	Professional		$839.52	$955.69	$1,323.72