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 / $12,941.00	Facility		$895.00	$3,682.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.50 / $636.28 / $1,077.96	Professional		$557.50	$636.28	$1,077.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,665.92 / $9,092.56 / $18,125.31	Facility		$4,665.92	$9,092.56	$18,125.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.54 / $713.85 / $1,001.28	Professional		$576.54	$713.85	$1,001.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $579.52 / $587.41	Facility		$80.00	$579.52	$587.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $716.07 / $716.07 / $716.07	Facility		$716.07	$716.07	$716.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.01 / $828.43 / $1,267.58	Professional		$617.01	$828.43	$1,267.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,545.22 / $19,913.50 / $26,542.00	Facility		$3,545.22	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,569.28 / $4,655.76 / $5,443.43	Professional		$4,569.28	$4,655.76	$5,443.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $606.89 / $768.08 / $1,176.61	Facility		$606.89	$768.08	$1,176.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $778.34 / $934.01 / $1,158.17	Professional		$778.34	$934.01	$1,158.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $807.30 / $833.40 / $1,043.21	Professional		$807.30	$833.40	$1,043.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $606.89 / $773.92 / $1,254.84	Facility		$606.89	$773.92	$1,254.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.39 / $853.09 / $1,301.22	Professional		$630.39	$853.09	$1,301.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.96 / $665.32 / $1,041.58	Professional		$490.96	$665.32	$1,041.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $531.42 / $602.21 / $838.54	Professional		$531.42	$602.21	$838.54