Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.54 / $2,783.00 / $7,542.00	Facility		$723.54	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.59 / $808.54 / $1,311.55	Professional		$709.59	$808.54	$1,311.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,990.00 / $7,372.81 / $14,745.61	Facility		$3,990.00	$7,372.81	$14,745.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.44 / $849.12 / $1,255.51	Professional		$638.44	$849.12	$1,255.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $700.02 / $705.72	Facility		$80.00	$700.02	$705.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $878.62 / $878.62 / $878.62	Facility		$878.62	$878.62	$878.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.02 / $1,078.25 / $1,657.88	Professional		$778.02	$1,078.25	$1,657.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,329.72 / $16,394.00 / $16,547.20	Facility		$4,329.72	$16,394.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,985.31 / $8,985.31 / $8,985.31	Professional		$8,985.31	$8,985.31	$8,985.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $762.70 / $989.52 / $1,722.34	Facility		$762.70	$989.52	$1,722.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $955.03 / $1,146.03 / $1,421.08	Professional		$955.03	$1,146.03	$1,421.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,027.20 / $1,027.20 / $1,027.20	Professional		$1,027.20	$1,027.20	$1,027.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $762.70 / $991.32 / $1,798.14	Facility		$762.70	$991.32	$1,798.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $785.36 / $1,112.94 / $1,686.76	Professional		$785.36	$1,112.94	$1,686.76
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 $637.35 / $858.29 / $1,352.51	Professional		$637.35	$858.29	$1,352.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $652.07 / $741.29 / $1,034.06	Professional		$652.07	$741.29	$1,034.06