Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.16 / $3,620.00 / $12,480.00	Facility		$914.16	$3,620.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.26 / $723.88 / $1,155.91	Professional		$634.26	$723.88	$1,155.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.24 / $942.86 / $1,354.28	Professional		$643.24	$942.86	$1,354.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $628.87 / $628.87	Facility		$80.00	$628.87	$628.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.94 / $778.94 / $778.94	Facility		$778.94	$778.94	$778.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $915.75 / $1,448.39	Professional		$676.50	$915.75	$1,448.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,791.35	Facility		$55.00	$55.00	$4,791.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,069.52 / $5,175.28 / $5,820.08	Professional		$5,069.52	$5,175.28	$5,820.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $666.95 / $850.03 / $1,349.71	Facility		$666.95	$850.03	$1,349.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $846.68 / $1,016.01 / $1,259.84	Professional		$846.68	$1,016.01	$1,259.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $614.20 / $614.20 / $614.20	Professional		$614.20	$614.20	$614.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $669.38 / $853.56 / $1,369.38	Facility		$669.38	$853.56	$1,369.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $703.88 / $965.84 / $1,489.53	Professional		$703.88	$965.84	$1,489.53
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 $575.12 / $749.48 / $1,190.14	Professional		$575.12	$749.48	$1,190.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $578.09 / $653.87 / $917.87	Professional		$578.09	$653.87	$917.87