Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,682.00 / $12,826.00	Facility		$916.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.15 / $742.10 / $1,218.47	Professional		$642.15	$742.10	$1,218.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,171.46 / $7,615.33 / $15,570.20	Facility		$4,171.46	$7,615.33	$15,570.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $658.24 / $820.16 / $1,131.68	Professional		$658.24	$820.16	$1,131.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $656.46 / $663.96	Facility		$80.00	$656.46	$663.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $826.55 / $826.55 / $826.55	Facility		$826.55	$826.55	$826.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.00 / $971.47 / $1,451.13	Professional		$705.00	$971.47	$1,451.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $13,960.05	Facility		$55.00	$2,000.00	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,296.72 / $5,410.32 / $6,258.90	Professional		$5,296.72	$5,410.32	$6,258.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $693.59 / $874.89 / $1,392.35	Facility		$693.59	$874.89	$1,392.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $898.43 / $1,078.10 / $1,336.86	Professional		$898.43	$1,078.10	$1,336.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $849.10 / $849.10 / $849.10	Professional		$849.10	$849.10	$849.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $694.64 / $887.64 / $1,440.00	Facility		$694.64	$887.64	$1,440.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $711.25 / $1,005.71 / $1,509.78	Professional		$711.25	$1,005.71	$1,509.78
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 $584.11 / $778.81 / $1,224.72	Professional		$584.11	$778.81	$1,224.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $613.41 / $695.61 / $968.83	Professional		$613.41	$695.61	$968.83