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 $576.37 / $641.30 / $1,071.47	Professional		$576.37	$641.30	$1,071.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $669.99 / $1,121.20 / $5,712.66	Facility		$669.99	$1,121.20	$5,712.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.74 / $632.73 / $1,023.18	Professional		$495.74	$632.73	$1,023.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $575.54 / $579.44	Facility		$80.00	$575.54	$579.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.09 / $713.09 / $713.09	Facility		$713.09	$713.09	$713.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.91 / $876.76 / $1,327.47	Professional		$636.91	$876.76	$1,327.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $4,362.54	Facility		$55.00	$2,000.00	$4,362.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,358.53 / $5,563.75 / $5,747.35	Professional		$5,358.53	$5,563.75	$5,747.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $617.46 / $828.83 / $1,326.80	Facility		$617.46	$828.83	$1,326.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $775.10 / $930.12 / $1,153.34	Professional		$775.10	$930.12	$1,153.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $786.90 / $786.90 / $786.90	Professional		$786.90	$786.90	$786.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $618.13 / $834.08 / $1,357.83	Facility		$618.13	$834.08	$1,357.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $641.60 / $901.59 / $1,362.04	Professional		$641.60	$901.59	$1,362.04
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 $532.62 / $699.14 / $1,108.36	Professional		$532.62	$699.14	$1,108.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $529.22 / $601.05 / $837.34	Professional		$529.22	$601.05	$837.34