Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,682.00 / $12,826.00	Facility		$895.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.28 / $654.28 / $1,080.69	Professional		$573.28	$654.28	$1,080.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,854.47 / $17,970.07 / $35,464.12	Facility		$7,854.47	$17,970.07	$35,464.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.21 / $754.66 / $1,028.34	Professional		$596.21	$754.66	$1,028.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $589.16 / $598.44	Facility		$80.00	$589.16	$598.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.30 / $734.30 / $734.30	Facility		$734.30	$734.30	$734.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.28 / $853.81 / $1,305.64	Professional		$636.28	$853.81	$1,305.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,031.20 / $26,542.00 / $52,877.55	Facility		$3,031.20	$26,542.00	$52,877.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,683.52 / $4,773.12 / $5,583.08	Professional		$4,683.52	$4,773.12	$5,583.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $623.41 / $806.24 / $1,251.16	Facility		$623.41	$806.24	$1,251.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $798.15 / $957.78 / $1,187.65	Professional		$798.15	$957.78	$1,187.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $799.60 / $1,078.41 / $1,129.33	Professional		$799.60	$1,078.41	$1,129.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $623.41 / $808.60 / $1,300.16	Facility		$623.41	$808.60	$1,300.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $653.48 / $884.40 / $1,331.69	Professional		$653.48	$884.40	$1,331.69
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 $509.20 / $691.53 / $1,102.91	Professional		$509.20	$691.53	$1,102.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $544.96 / $618.11 / $859.49	Professional		$544.96	$618.11	$859.49