Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,682.00 / $12,826.00	Facility		$916.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.65 / $718.89 / $1,223.38	Professional		$648.65	$718.89	$1,223.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $733.55 / $1,222.58 / $3,934.00	Facility		$733.55	$1,222.58	$3,934.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.02 / $702.77 / $1,117.67	Professional		$559.02	$702.77	$1,117.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $651.82 / $678.68	Facility		$80.00	$651.82	$678.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $813.77 / $813.77 / $813.77	Facility		$813.77	$813.77	$813.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.73 / $998.40 / $1,521.72	Professional		$716.73	$998.40	$1,521.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,592.23	Facility		$55.00	$55.00	$5,592.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,925.30 / $7,925.30 / $7,925.30	Professional		$7,925.30	$7,925.30	$7,925.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $686.80 / $968.48 / $1,570.84	Facility		$686.80	$968.48	$1,570.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $865.68 / $1,038.81 / $1,288.11	Professional		$865.68	$1,038.81	$1,288.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,019.60 / $1,019.60 / $1,019.60	Professional		$1,019.60	$1,019.60	$1,019.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $689.44 / $978.16 / $1,607.88	Facility		$689.44	$978.16	$1,607.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $738.88 / $1,036.73 / $1,562.13	Professional		$738.88	$1,036.73	$1,562.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $597.94 / $818.13 / $1,270.60	Professional		$597.94	$818.13	$1,270.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $591.05 / $675.92 / $925.98	Professional		$591.05	$675.92	$925.98