Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.37 / $3,570.00 / $12,281.00	Facility		$810.37	$3,570.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.33 / $707.83 / $1,131.98	Professional		$626.33	$707.83	$1,131.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,904.91 / $7,372.81 / $14,648.60	Facility		$3,904.91	$7,372.81	$14,648.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.48 / $679.72 / $1,049.76	Professional		$535.48	$679.72	$1,049.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $607.87 / $607.87	Facility		$80.00	$607.87	$607.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.12 / $755.12 / $755.12	Facility		$755.12	$755.12	$755.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.58 / $870.74 / $1,394.29	Professional		$655.58	$870.74	$1,394.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,720.00 / $16,547.20 / $26,542.00	Facility		$3,720.00	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,007.80 / $5,007.80 / $5,692.80	Professional		$5,007.80	$5,007.80	$5,692.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $592.20 / $862.79 / $1,389.00	Facility		$592.20	$862.79	$1,389.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $820.79 / $984.95 / $1,221.33	Professional		$820.79	$984.95	$1,221.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $595.20 / $595.20 / $595.20	Professional		$595.20	$595.20	$595.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.77 / $874.06 / $1,439.74	Facility		$602.77	$874.06	$1,439.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.00 / $944.91 / $1,460.00	Professional		$676.00	$944.91	$1,460.00
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 $543.75 / $743.95 / $1,149.74	Professional		$543.75	$743.95	$1,149.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $560.41 / $632.39 / $888.18	Professional		$560.41	$632.39	$888.18