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 $446.55 / $504.38 / $835.37	Professional		$446.55	$504.38	$835.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,252.01 / $7,615.33 / $14,503.08	Facility		$4,252.01	$7,615.33	$14,503.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.18 / $690.25 / $995.89	Professional		$450.18	$690.25	$995.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $440.76 / $443.06	Facility		$80.00	$440.76	$443.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.83 / $559.83 / $559.83	Facility		$559.83	$559.83	$559.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.81 / $700.18 / $1,095.18	Professional		$500.81	$700.18	$1,095.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,758.44 / $21,288.50 / $26,542.00	Facility		$2,758.44	$21,288.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,937.38 / $5,937.38 / $5,937.38	Professional		$5,937.38	$5,937.38	$5,937.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $484.65 / $640.20 / $1,169.76	Facility		$484.65	$640.20	$1,169.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $608.51 / $730.22 / $905.47	Professional		$608.51	$730.22	$905.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $626.50 / $626.50 / $626.50	Professional		$626.50	$626.50	$626.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $486.31 / $643.79 / $1,196.47	Facility		$486.31	$643.79	$1,196.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $502.47 / $728.24 / $1,112.97	Professional		$502.47	$728.24	$1,112.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.00 / $581.58 / $921.60	Professional		$426.00	$581.58	$921.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $415.48 / $472.88 / $659.06	Professional		$415.48	$472.88	$659.06