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 $683.55 / $774.81 / $1,299.75	Professional		$683.55	$774.81	$1,299.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,165.24 / $7,421.31 / $14,745.61	Facility		$4,165.24	$7,421.31	$14,745.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.83 / $770.69 / $1,246.27	Professional		$603.83	$770.69	$1,246.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $683.66 / $691.94	Facility		$80.00	$683.66	$691.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $863.37 / $863.37 / $863.37	Facility		$863.37	$863.37	$863.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.97 / $1,015.52 / $1,547.25	Professional		$739.97	$1,015.52	$1,547.25
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 $8,296.79 / $8,296.79 / $8,296.79	Professional		$8,296.79	$8,296.79	$8,296.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $726.79 / $934.46 / $1,571.00	Facility		$726.79	$934.46	$1,571.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $938.45 / $1,126.14 / $1,396.41	Professional		$938.45	$1,126.14	$1,396.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $866.50 / $866.50 / $866.50	Professional		$866.50	$866.50	$866.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $726.79 / $937.40 / $1,724.93	Facility		$726.79	$937.40	$1,724.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $745.38 / $1,062.27 / $1,599.66	Professional		$745.38	$1,062.27	$1,599.66
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 $611.40 / $823.18 / $1,303.19	Professional		$611.40	$823.18	$1,303.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $640.75 / $726.79 / $1,011.77	Professional		$640.75	$726.79	$1,011.77