Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.95 / $3,224.00 / $11,453.00	Facility		$776.95	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.72 / $750.90 / $1,191.02	Professional		$670.72	$750.90	$1,191.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $9,032.74 / $17,826.21	Facility		$4,349.00	$9,032.74	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.18 / $842.16 / $1,181.25	Professional		$680.18	$842.16	$1,181.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $674.66 / $686.23	Facility		$80.00	$674.66	$686.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.17 / $842.17 / $842.17	Facility		$842.17	$842.17	$842.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.74 / $983.05 / $1,502.09	Professional		$730.74	$983.05	$1,502.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,172.93 / $19,913.50 / $26,542.00	Facility		$4,172.93	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,371.84 / $5,479.12 / $6,402.30	Professional		$5,371.84	$5,479.12	$6,402.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $709.68 / $911.22 / $1,452.78	Facility		$709.68	$911.22	$1,452.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $915.40 / $1,098.48 / $1,362.12	Professional		$915.40	$1,098.48	$1,362.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $924.40 / $1,238.92 / $1,295.76	Professional		$924.40	$1,238.92	$1,295.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $710.25 / $916.73 / $1,494.00	Facility		$710.25	$916.73	$1,494.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $752.04 / $1,011.68 / $1,533.69	Professional		$752.04	$1,011.68	$1,533.69
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 $575.99 / $767.99 / $1,214.48	Professional		$575.99	$767.99	$1,214.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $625.01 / $709.31 / $985.58	Professional		$625.01	$709.31	$985.58