Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,224.00 / $11,453.00	Facility		$797.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.26 / $874.54 / $1,476.71	Professional		$766.26	$874.54	$1,476.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $797.20 / $1,009.06 / $1,375.03	Professional		$797.20	$1,009.06	$1,375.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $779.97 / $794.99	Facility		$80.00	$779.97	$794.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $978.70 / $978.70 / $978.70	Facility		$978.70	$978.70	$978.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.71 / $1,149.16 / $1,743.56	Professional		$852.71	$1,149.16	$1,743.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,851.12 / $19,913.50 / $26,542.00	Facility		$4,851.12	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,243.36 / $6,369.92 / $7,437.98	Professional		$6,243.36	$6,369.92	$7,437.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $824.98 / $1,053.20 / $1,638.60	Facility		$824.98	$1,053.20	$1,638.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,063.80 / $1,276.56 / $1,582.93	Professional		$1,063.80	$1,276.56	$1,582.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,098.40 / $1,098.40 / $1,098.40	Professional		$1,098.40	$1,098.40	$1,098.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $832.48 / $1,072.47 / $1,708.34	Facility		$832.48	$1,072.47	$1,708.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $883.00 / $1,194.75 / $1,789.15	Professional		$883.00	$1,194.75	$1,789.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $673.43 / $897.91 / $1,421.20	Professional		$673.43	$897.91	$1,421.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $726.34 / $824.98 / $1,145.04	Professional		$726.34	$824.98	$1,145.04