Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.00 / $2,783.00 / $7,542.00	Facility		$689.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.11 / $702.03 / $1,175.06	Professional		$615.11	$702.03	$1,175.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,187.35 / $9,032.74 / $17,826.21	Facility		$4,187.35	$9,032.74	$17,826.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.16 / $787.66 / $1,104.80	Professional		$636.16	$787.66	$1,104.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $641.59 / $648.64	Facility		$80.00	$641.59	$648.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $789.73 / $789.73 / $789.73	Facility		$789.73	$789.73	$789.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.28 / $904.55 / $1,379.78	Professional		$670.28	$904.55	$1,379.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,256.40 / $16,394.00 / $19,913.50	Facility		$3,256.40	$16,394.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,040.00 / $5,135.04 / $6,003.90	Professional		$5,040.00	$5,135.04	$6,003.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $663.45 / $834.87 / $1,303.85	Facility		$663.45	$834.87	$1,303.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $858.40 / $1,030.08 / $1,277.30	Professional		$858.40	$1,030.08	$1,277.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $759.70 / $947.65 / $1,249.56	Professional		$759.70	$947.65	$1,249.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $663.45 / $841.44 / $1,386.41	Facility		$663.45	$841.44	$1,386.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $688.29 / $929.05 / $1,418.05	Professional		$688.29	$929.05	$1,418.05
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 $531.05 / $717.90 / $1,138.18	Professional		$531.05	$717.90	$1,138.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $586.09 / $663.45 / $925.17	Professional		$586.09	$663.45	$925.17