Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,620.00 / $12,480.00	Facility		$921.00	$3,620.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.27 / $814.38 / $1,262.42	Professional		$717.27	$814.38	$1,262.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $792.78 / $1,313.30 / $6,691.40	Facility		$792.78	$1,313.30	$6,691.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $651.51 / $866.51 / $1,281.21	Professional		$651.51	$866.51	$1,281.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $703.48 / $713.35	Facility		$80.00	$703.48	$713.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.74 / $895.74 / $895.74	Facility		$895.74	$895.74	$895.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.80 / $1,050.45 / $1,618.78	Professional		$779.80	$1,050.45	$1,618.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,277.68	Facility		$55.00	$55.00	$7,277.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,581.31 / $6,777.31 / $6,781.05	Professional		$6,581.31	$6,777.31	$6,781.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $769.75 / $987.40 / $1,581.65	Facility		$769.75	$987.40	$1,581.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $973.63 / $1,168.34 / $1,448.75	Professional		$973.63	$1,168.34	$1,448.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $934.10 / $934.10 / $934.10	Professional		$934.10	$934.10	$934.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $772.87 / $992.57 / $1,623.60	Facility		$772.87	$992.57	$1,623.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $797.81 / $1,108.95 / $1,669.86	Professional		$797.81	$1,108.95	$1,669.86
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 $633.74 / $844.98 / $1,351.97	Professional		$633.74	$844.98	$1,351.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $664.77 / $754.66 / $1,049.53	Professional		$664.77	$754.66	$1,049.53