Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.56 / $2,783.00 / $7,542.00	Facility		$669.56	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.50 / $645.71 / $1,088.02	Professional		$556.50	$645.71	$1,088.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,354.21 / $4,160.92 / $8,431.35	Facility		$2,354.21	$4,160.92	$8,431.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $584.41 / $593.16	Facility		$80.00	$584.41	$593.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $725.37 / $725.37 / $725.37	Facility		$725.37	$725.37	$725.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.32 / $840.10 / $1,256.35	Professional		$615.32	$840.10	$1,256.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,993.75 / $11,500.00 / $16,394.00	Facility		$2,993.75	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,627.52 / $4,715.43 / $5,514.60	Professional		$4,627.52	$4,715.43	$5,514.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $610.40 / $789.88 / $1,233.68	Facility		$610.40	$789.88	$1,233.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $788.45 / $946.14 / $1,173.21	Professional		$788.45	$946.14	$1,173.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $749.70 / $868.53 / $1,149.86	Professional		$749.70	$868.53	$1,149.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $614.96 / $792.08 / $1,283.55	Facility		$614.96	$792.08	$1,283.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.32 / $860.60 / $1,314.08	Professional		$615.32	$860.60	$1,314.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $10,600.00	Facility		$1,634.00	$4,425.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $493.43 / $681.05 / $1,061.54	Professional		$493.43	$681.05	$1,061.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $538.33 / $610.40 / $849.19	Professional		$538.33	$610.40	$849.19