Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,620.00 / $12,377.00	Facility		$923.00	$3,620.00	$12,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.57 / $826.49 / $1,378.78	Professional		$729.57	$826.49	$1,378.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.95 / $7,372.81 / $14,745.61	Facility		$4,122.95	$7,372.81	$14,745.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.08 / $796.53 / $1,326.63	Professional		$624.08	$796.53	$1,326.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $709.95 / $716.59	Facility		$80.00	$709.95	$716.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.50 / $909.50 / $909.50	Facility		$909.50	$909.50	$909.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.41 / $1,150.81 / $1,766.43	Professional		$814.41	$1,150.81	$1,766.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,484.39 / $21,125.75 / $26,542.00	Facility		$4,484.39	$21,125.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,584.09 / $8,584.09 / $8,584.09	Professional		$8,584.09	$8,584.09	$8,584.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $789.82 / $1,069.47 / $1,907.52	Facility		$789.82	$1,069.47	$1,907.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $988.59 / $1,186.31 / $1,471.02	Professional		$988.59	$1,186.31	$1,471.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $951.80 / $951.80 / $951.80	Professional		$951.80	$951.80	$951.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $789.98 / $1,079.75 / $1,975.82	Facility		$789.98	$1,079.75	$1,975.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $820.36 / $1,202.17 / $1,824.42	Professional		$820.36	$1,202.17	$1,824.42
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 $700.33 / $956.74 / $1,490.36	Professional		$700.33	$956.74	$1,490.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $674.98 / $770.27 / $1,070.29	Professional		$674.98	$770.27	$1,070.29