Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.32 / $2,562.00 / $7,495.00	Facility		$673.32	$2,562.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.38 / $777.56 / $1,262.42	Professional		$625.38	$777.56	$1,262.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,171.46 / $7,572.03 / $14,745.61	Facility		$4,171.46	$7,572.03	$14,745.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.07 / $756.55 / $1,106.97	Professional		$536.07	$756.55	$1,106.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $599.91 / $605.19	Facility		$80.00	$599.91	$605.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,134.27 / $1,134.27 / $1,134.27	Facility		$1,134.27	$1,134.27	$1,134.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.92 / $1,013.44 / $1,594.93	Professional		$719.92	$1,013.44	$1,594.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,632.54 / $11,500.00 / $16,394.00	Facility		$4,632.54	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,920.00 / $5,874.32 / $6,749.55	Professional		$4,920.00	$5,874.32	$6,749.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.95 / $967.78 / $1,583.23	Facility		$676.95	$967.78	$1,583.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $852.79 / $1,082.38 / $1,413.67	Professional		$852.79	$1,082.38	$1,413.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $808.60 / $808.60 / $808.60	Professional		$808.60	$808.60	$808.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.95 / $974.38 / $1,627.50	Facility		$676.95	$974.38	$1,627.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $727.07 / $1,071.77 / $1,654.84	Professional		$727.07	$1,071.77	$1,654.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.82 / $896.29 / $1,450.98	Professional		$682.82	$896.29	$1,450.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $670.29 / $759.64 / $1,063.34	Professional		$670.29	$759.64	$1,063.34