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 $644.78 / $728.88 / $1,176.13	Professional		$644.78	$728.88	$1,176.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.68 / $1,216.35 / $5,572.00	Facility		$722.68	$1,216.35	$5,572.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.28 / $801.52 / $1,105.96	Professional		$643.28	$801.52	$1,105.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $653.52 / $658.75	Facility		$80.00	$653.52	$658.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $804.98 / $804.98 / $804.98	Facility		$804.98	$804.98	$804.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.64 / $944.27 / $1,406.79	Professional		$683.64	$944.27	$1,406.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,547.12	Facility		$55.00	$55.00	$6,547.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,724.95 / $6,724.95 / $6,724.95	Professional		$6,724.95	$6,724.95	$6,724.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.60 / $843.16 / $1,499.78	Facility		$660.60	$843.16	$1,499.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $874.98 / $1,049.97 / $1,301.96	Professional		$874.98	$1,049.97	$1,301.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $768.30 / $768.30 / $768.30	Professional		$768.30	$768.30	$768.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $665.67 / $852.31 / $1,574.72	Facility		$665.67	$852.31	$1,574.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $687.18 / $966.95 / $1,506.70	Professional		$687.18	$966.95	$1,506.70
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 $561.91 / $750.12 / $1,204.52	Professional		$561.91	$750.12	$1,204.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $597.41 / $676.60 / $943.99	Professional		$597.41	$676.60	$943.99