Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,219.00 / $11,453.00	Facility		$767.00	$3,219.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.95 / $731.52 / $1,236.93	Professional		$640.95	$731.52	$1,236.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,914.94 / $9,020.16 / $15,732.53	Facility		$3,914.94	$9,020.16	$15,732.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.31 / $844.65 / $1,150.99	Professional		$667.31	$844.65	$1,150.99
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $658.91 / $669.99	Facility		$80.00	$658.91	$669.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $820.59 / $820.59 / $820.59	Facility		$820.59	$820.59	$820.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.47 / $956.98 / $1,473.22	Professional		$711.47	$956.98	$1,473.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,065.60 / $19,913.50 / $26,542.00	Facility		$4,065.60	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,234.72 / $5,338.00 / $6,237.98	Professional		$5,234.72	$5,338.00	$6,237.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $697.00 / $904.95 / $1,403.56	Facility		$697.00	$904.95	$1,403.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.95 / $1,070.33 / $1,327.22	Professional		$891.95	$1,070.33	$1,327.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $901.00 / $901.00 / $901.00	Professional		$901.00	$901.00	$901.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $698.95 / $904.95 / $1,454.38	Facility		$698.95	$904.95	$1,454.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $733.33 / $992.43 / $1,499.97	Professional		$733.33	$992.43	$1,499.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $8,142.00 / $16,982.00	Facility		$2,614.00	$8,142.00	$16,982.00
United Facility/Professional Professional Modifier Low / Median / High Price $571.55 / $774.18 / $1,206.17	Professional		$571.55	$774.18	$1,206.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $609.00 / $691.02 / $960.42	Professional		$609.00	$691.02	$960.42