Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.36 / $3,224.00 / $11,453.00	Facility		$797.36	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.59 / $882.40 / $1,444.38	Professional		$780.59	$882.40	$1,444.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.95 / $7,372.81 / $14,745.61	Facility		$4,122.95	$7,372.81	$14,745.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.78 / $936.03 / $1,403.14	Professional		$703.78	$936.03	$1,403.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $776.19 / $781.30	Facility		$80.00	$776.19	$781.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $968.65 / $968.65 / $968.65	Facility		$968.65	$968.65	$968.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $845.43 / $1,167.50 / $1,782.82	Professional		$845.43	$1,167.50	$1,782.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,771.68 / $16,547.20 / $26,542.00	Facility		$4,771.68	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,988.04 / $7,988.04 / $7,988.04	Professional		$7,988.04	$7,988.04	$7,988.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $835.03 / $1,058.49 / $1,827.32	Facility		$835.03	$1,058.49	$1,827.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $816.47 / $816.47 / $816.47	Professional		$816.47	$816.47	$816.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,091.70 / $1,091.70 / $1,091.70	Professional		$1,091.70	$1,091.70	$1,091.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $835.03 / $1,061.41 / $1,976.58	Facility		$835.03	$1,061.41	$1,976.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $864.90 / $1,206.22 / $1,826.04	Professional		$864.90	$1,206.22	$1,826.04
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 $700.37 / $934.13 / $1,473.12	Professional		$700.37	$934.13	$1,473.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $718.88 / $816.47 / $1,140.25	Professional		$718.88	$816.47	$1,140.25