Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,895.00 / $13,004.00	Facility		$945.00	$3,895.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.74 / $754.83 / $1,190.77	Professional		$639.74	$754.83	$1,190.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,734.91 / $7,421.31 / $14,454.58	Facility		$3,734.91	$7,421.31	$14,454.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.45 / $814.00 / $1,193.46	Professional		$594.45	$814.00	$1,193.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $679.82 / $683.70	Facility		$80.00	$679.82	$683.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $839.94 / $839.94 / $839.94	Facility		$839.94	$839.94	$839.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.66 / $969.60 / $1,433.94	Professional		$692.66	$969.60	$1,433.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,149.78 / $20,973.00 / $26,542.00	Facility		$4,149.78	$20,973.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,654.52 / $7,654.52 / $7,654.52	Professional		$7,654.52	$7,654.52	$7,654.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.74 / $860.56 / $1,611.91	Facility		$691.74	$860.56	$1,611.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.98 / $1,095.57 / $1,358.51	Professional		$912.98	$1,095.57	$1,358.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $761.70 / $761.70 / $761.70	Professional		$761.70	$761.70	$761.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $693.32 / $862.50 / $1,706.65	Facility		$693.32	$862.50	$1,706.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $713.96 / $1,002.19 / $1,554.48	Professional		$713.96	$1,002.19	$1,554.48
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 $578.54 / $766.23 / $1,236.08	Professional		$578.54	$766.23	$1,236.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $623.36 / $705.14 / $985.42	Professional		$623.36	$705.14	$985.42