Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,925.00 / $13,401.00	Facility		$945.00	$3,925.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.42 / $752.60 / $1,233.26	Professional		$659.42	$752.60	$1,233.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.95 / $7,592.88 / $14,697.11	Facility		$4,122.95	$7,592.88	$14,697.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $605.22 / $804.95 / $1,206.64	Professional		$605.22	$804.95	$1,206.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $655.85 / $665.59	Facility		$80.00	$655.85	$665.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.09 / $838.09 / $838.09	Facility		$838.09	$838.09	$838.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.07 / $972.61 / $1,459.68	Professional		$711.07	$972.61	$1,459.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,148.70 / $16,547.20 / $26,542.00	Facility		$4,148.70	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,323.73 / $6,323.73 / $6,345.83	Professional		$6,323.73	$6,323.73	$6,345.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $709.55 / $903.07 / $1,451.35	Facility		$709.55	$903.07	$1,451.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $910.96 / $1,093.16 / $1,355.51	Professional		$910.96	$1,093.16	$1,355.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $899.50 / $899.50 / $899.50	Professional		$899.50	$899.50	$899.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $711.03 / $911.32 / $1,481.86	Facility		$711.03	$911.32	$1,481.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $735.68 / $1,005.54 / $1,537.41	Professional		$735.68	$1,005.54	$1,537.41
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 $580.59 / $774.12 / $1,223.10	Professional		$580.59	$774.12	$1,223.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $621.98 / $706.30 / $981.79	Professional		$621.98	$706.30	$981.79