Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,377.00	Facility		$921.00	$3,682.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.38 / $769.13 / $1,280.94	Professional		$685.38	$769.13	$1,280.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.55 / $1,072.61 / $2,014.92	Professional		$699.55	$1,072.61	$2,014.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $646.12 / $654.98	Facility		$80.00	$646.12	$654.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.48 / $855.48 / $855.48	Facility		$855.48	$855.48	$855.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.77 / $1,016.46 / $1,555.60	Professional		$761.77	$1,016.46	$1,555.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,200.47 / $11,500.00 / $26,542.00	Facility		$4,200.47	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,223.58 / $7,223.58 / $7,223.58	Professional		$7,223.58	$7,223.58	$7,223.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $736.16 / $958.05 / $1,576.85	Facility		$736.16	$958.05	$1,576.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $923.49 / $1,108.19 / $1,374.15	Professional		$923.49	$1,108.19	$1,374.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $978.20 / $978.20 / $978.20	Professional		$978.20	$978.20	$978.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.96 / $963.18 / $1,627.32	Facility		$736.96	$963.18	$1,627.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $767.03 / $1,074.58 / $1,597.16	Professional		$767.03	$1,074.58	$1,597.16
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 $615.83 / $809.57 / $1,276.80	Professional		$615.83	$809.57	$1,276.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.54 / $718.01 / $996.88	Professional		$630.54	$718.01	$996.88