Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,601.00 / $12,826.00	Facility		$916.00	$3,601.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.87 / $702.74 / $1,171.74	Professional		$613.87	$702.74	$1,171.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.95 / $7,421.31 / $14,745.61	Facility		$4,122.95	$7,421.31	$14,745.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.70 / $811.14 / $1,205.39	Professional		$641.70	$811.14	$1,205.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $615.04 / $623.95	Facility		$80.00	$615.04	$623.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $783.40 / $783.40 / $783.40	Facility		$783.40	$783.40	$783.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.76 / $904.93 / $1,374.64	Professional		$671.76	$904.93	$1,374.64
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 $6,008.36 / $6,008.36 / $6,008.36	Professional		$6,008.36	$6,008.36	$6,008.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.15 / $840.07 / $1,416.00	Facility		$660.15	$840.07	$1,416.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.53 / $1,021.83 / $1,267.07	Professional		$851.53	$1,021.83	$1,267.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $857.80 / $857.80 / $857.80	Professional		$857.80	$857.80	$857.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $663.52 / $841.96 / $1,524.38	Facility		$663.52	$841.96	$1,524.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $681.23 / $940.46 / $1,440.95	Professional		$681.23	$940.46	$1,440.95
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 $540.77 / $720.42 / $1,130.28	Professional		$540.77	$720.42	$1,130.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $581.40 / $660.15 / $917.82	Professional		$581.40	$660.15	$917.82