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 $633.67 / $723.22 / $1,222.80	Professional		$633.67	$723.22	$1,222.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,487.17 / $4,352.55 / $8,431.35	Facility		$2,487.17	$4,352.55	$8,431.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.62 / $834.91 / $1,137.72	Professional		$659.62	$834.91	$1,137.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $651.07 / $661.81	Facility		$80.00	$651.07	$661.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $811.30 / $811.30 / $811.30	Facility		$811.30	$811.30	$811.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.78 / $945.90 / $1,448.30	Professional		$703.78	$945.90	$1,448.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,019.28 / $11,500.00 / $26,542.00	Facility		$4,019.28	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,773.90 / $5,773.90 / $6,167.40	Professional		$5,773.90	$5,773.90	$6,167.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $688.99 / $888.07 / $1,456.05	Facility		$688.99	$888.07	$1,456.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $881.85 / $1,058.22 / $1,312.19	Professional		$881.85	$1,058.22	$1,312.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,179.07 / $1,367.36 / $2,688.66	Professional		$1,179.07	$1,367.36	$2,688.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $690.99 / $908.39 / $1,550.00	Facility		$690.99	$908.39	$1,550.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $722.87 / $976.03 / $1,482.94	Professional		$722.87	$976.03	$1,482.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $5,210.00 / $10,476.00	Facility		$1,693.00	$5,210.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $554.34 / $739.45 / $1,192.20	Professional		$554.34	$739.45	$1,192.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.11 / $683.13 / $949.56	Professional		$602.11	$683.13	$949.56