Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.00 / $3,710.00 / $13,004.00	Facility		$799.00	$3,710.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.78 / $747.59 / $1,170.96	Professional		$596.78	$747.59	$1,170.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,227.90 / $2,172.33 / $4,574.26	Facility		$1,227.90	$2,172.33	$4,574.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $554.99 / $560.49	Facility		$80.00	$554.99	$560.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.85 / $1,084.85 / $1,084.85	Facility		$1,084.85	$1,084.85	$1,084.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.31 / $928.86 / $1,416.60	Professional		$676.31	$928.86	$1,416.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,428.30 / $11,500.00 / $26,542.00	Facility		$4,428.30	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,995.00 / $6,724.95 / $6,797.78	Professional		$5,995.00	$6,724.95	$6,797.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $651.65 / $871.44 / $1,485.37	Facility		$651.65	$871.44	$1,485.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $818.30 / $1,059.82 / $1,413.09	Professional		$818.30	$1,059.82	$1,413.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $820.30 / $820.30 / $820.30	Professional		$820.30	$820.30	$820.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $652.92 / $876.20 / $1,518.12	Facility		$652.92	$876.20	$1,518.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $684.23 / $979.05 / $1,550.50	Professional		$684.23	$979.05	$1,550.50
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $625.95 / $841.96 / $1,343.86	Professional		$625.95	$841.96	$1,343.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $670.02 / $757.53 / $1,061.44	Professional		$670.02	$757.53	$1,061.44