Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,682.00 / $12,826.00	Facility		$895.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.87 / $656.43 / $1,098.08	Professional		$575.87	$656.43	$1,098.08
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 $508.62 / $649.17 / $1,002.59	Professional		$508.62	$649.17	$1,002.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $564.28 / $568.54	Facility		$80.00	$564.28	$568.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.70 / $731.70 / $731.70	Facility		$731.70	$731.70	$731.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.54 / $861.41 / $1,328.85	Professional		$619.54	$861.41	$1,328.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $16,547.20	Facility		$55.00	$2,000.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,294.01 / $6,294.01 / $6,294.01	Professional		$6,294.01	$6,294.01	$6,294.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $626.82 / $801.65 / $1,361.17	Facility		$626.82	$801.65	$1,361.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $795.33 / $954.39 / $1,183.44	Professional		$795.33	$954.39	$1,183.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.10 / $794.10 / $794.10	Professional		$794.10	$794.10	$794.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $628.41 / $801.93 / $1,413.04	Facility		$628.41	$801.93	$1,413.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $656.67 / $896.43 / $1,355.31	Professional		$656.67	$896.43	$1,355.31
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 $500.94 / $700.29 / $1,090.51	Professional		$500.94	$700.29	$1,090.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $543.03 / $616.87 / $859.55	Professional		$543.03	$616.87	$859.55