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 $613.66 / $692.18 / $1,105.46	Professional		$613.66	$692.18	$1,105.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,606.10 / $9,092.56 / $18,185.13	Facility		$4,606.10	$9,092.56	$18,185.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.61 / $799.46 / $1,089.41	Professional		$631.61	$799.46	$1,089.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $625.16 / $635.09	Facility		$80.00	$625.16	$635.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.19 / $778.19 / $778.19	Facility		$778.19	$778.19	$778.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $672.02 / $905.01 / $1,385.37	Professional		$672.02	$905.01	$1,385.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,855.00 / $21,551.95 / $26,542.00	Facility		$3,855.00	$21,551.95	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,962.56 / $5,054.08 / $5,917.88	Professional		$4,962.56	$5,054.08	$5,917.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $659.11 / $851.51 / $1,316.32	Facility		$659.11	$851.51	$1,316.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $845.86 / $1,015.04 / $1,258.64	Professional		$845.86	$1,015.04	$1,258.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.90 / $895.70 / $1,132.28	Professional		$870.90	$895.70	$1,132.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.72 / $862.09 / $1,383.90	Facility		$660.72	$862.09	$1,383.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $692.22 / $932.42 / $1,419.29	Professional		$692.22	$932.42	$1,419.29
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 $536.58 / $733.11 / $1,128.58	Professional		$536.58	$733.11	$1,128.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $577.53 / $655.01 / $910.85	Professional		$577.53	$655.01	$910.85