Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.00 / $2,768.00 / $7,542.00	Facility		$696.00	$2,768.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.23 / $735.26 / $1,231.02	Professional		$644.23	$735.26	$1,231.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,322.94 / $2,236.39 / $4,503.00	Facility		$1,322.94	$2,236.39	$4,503.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.70 / $848.94 / $1,156.83	Professional		$670.70	$848.94	$1,156.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $670.99 / $679.08	Facility		$80.00	$670.99	$679.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $827.67 / $827.67 / $827.67	Facility		$827.67	$827.67	$827.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.03 / $947.12 / $1,442.40	Professional		$702.03	$947.12	$1,442.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,731.08 / $11,500.00 / $16,394.00	Facility		$2,731.08	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,280.00 / $5,378.24 / $6,294.15	Professional		$5,280.00	$5,378.24	$6,294.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $686.24 / $839.00 / $1,331.51	Facility		$686.24	$839.00	$1,331.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $899.64 / $1,079.57 / $1,338.66	Professional		$899.64	$1,079.57	$1,338.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $787.56 / $1,238.73 / $2,664.07	Professional		$787.56	$1,238.73	$2,664.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $689.51 / $845.25 / $1,384.90	Facility		$689.51	$845.25	$1,384.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $732.52 / $977.64 / $1,498.06	Professional		$732.52	$977.64	$1,498.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.57 / $753.93 / $1,193.75	Professional		$560.57	$753.93	$1,193.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $614.25 / $695.58 / $969.38	Professional		$614.25	$695.58	$969.38