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 $621.76 / $709.62 / $1,198.55	Professional		$621.76	$709.62	$1,198.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,512.96 / $4,352.55 / $8,403.96	Facility		$2,512.96	$4,352.55	$8,403.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.00 / $818.94 / $1,115.95	Professional		$647.00	$818.94	$1,115.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $639.29 / $649.61	Facility		$80.00	$639.29	$649.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.31 / $795.31 / $795.31	Facility		$795.31	$795.31	$795.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $690.26 / $927.89 / $1,421.79	Professional		$690.26	$927.89	$1,421.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,939.54 / $11,500.00 / $26,542.00	Facility		$3,939.54	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,074.72 / $5,175.84 / $6,044.48	Professional		$5,074.72	$5,175.84	$6,044.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $671.81 / $870.45 / $1,349.62	Facility		$671.81	$870.45	$1,349.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $864.46 / $1,037.35 / $1,286.32	Professional		$864.46	$1,037.35	$1,286.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $890.55 / $984.20 / $1,157.05	Professional		$890.55	$984.20	$1,157.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $675.83 / $883.21 / $1,374.15	Facility		$675.83	$883.21	$1,374.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $710.00 / $958.16 / $1,447.96	Professional		$710.00	$958.16	$1,447.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,313.00 / $10,600.00	Facility		$1,634.00	$4,313.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.24 / $735.96 / $1,168.33	Professional		$543.24	$735.96	$1,168.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $590.23 / $669.58 / $930.95	Professional		$590.23	$669.58	$930.95