Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,224.00 / $11,453.00	Facility		$788.00	$3,224.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.28 / $799.24 / $1,351.00	Professional		$700.28	$799.24	$1,351.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.25 / $921.79 / $1,256.10	Professional		$728.25	$921.79	$1,256.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $714.96 / $727.97	Facility		$80.00	$714.96	$727.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.74 / $895.74 / $895.74	Facility		$895.74	$895.74	$895.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.50 / $1,048.45 / $1,608.77	Professional		$771.50	$1,048.45	$1,608.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,439.34 / $19,913.50 / $26,542.00	Facility		$4,439.34	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,712.88 / $5,823.92 / $6,809.48	Professional		$5,712.88	$5,823.92	$6,809.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $768.76 / $981.18 / $1,588.37	Facility		$768.76	$981.18	$1,588.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $973.63 / $1,191.72 / $1,448.75	Professional		$973.63	$1,191.72	$1,448.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $982.80 / $982.80 / $982.80	Professional		$982.80	$982.80	$982.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $769.85 / $992.30 / $1,627.50	Facility		$769.85	$992.30	$1,627.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $788.06 / $1,097.60 / $1,632.87	Professional		$788.06	$1,097.60	$1,632.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $614.41 / $848.15 / $1,321.42	Professional		$614.41	$848.15	$1,321.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $664.77 / $754.75 / $1,048.07	Professional		$664.77	$754.75	$1,048.07