Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $2,783.00 / $7,542.00	Facility		$696.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.84 / $761.07 / $1,288.03	Professional		$666.84	$761.07	$1,288.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $689.35 / $875.84 / $1,197.18	Professional		$689.35	$875.84	$1,197.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $684.34 / $695.91	Facility		$80.00	$684.34	$695.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.45 / $854.45 / $854.45	Facility		$854.45	$854.45	$854.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.18 / $1,009.55 / $1,546.50	Professional		$752.18	$1,009.55	$1,546.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,528.30 / $16,394.00 / $19,913.50	Facility		$3,528.30	$16,394.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,013.62 / $6,212.07 / $6,497.93	Professional		$6,013.62	$6,212.07	$6,497.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $729.37 / $961.04 / $1,511.64	Facility		$729.37	$961.04	$1,511.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $928.75 / $1,114.50 / $1,381.98	Professional		$928.75	$1,114.50	$1,381.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $947.19 / $1,053.83 / $1,356.03	Professional		$947.19	$1,053.83	$1,356.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $729.37 / $962.85 / $1,541.92	Facility		$729.37	$962.85	$1,541.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $765.50 / $1,042.08 / $1,560.55	Professional		$765.50	$1,042.08	$1,560.55
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 $589.12 / $799.29 / $1,267.79	Professional		$589.12	$799.29	$1,267.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $634.13 / $719.57 / $999.88	Professional		$634.13	$719.57	$999.88