Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,682.00 / $12,281.00	Facility		$788.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.20 / $751.21 / $1,268.52	Professional		$658.20	$751.21	$1,268.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.46 / $1,229.42 / $3,830.78	Facility		$741.46	$1,229.42	$3,830.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.32 / $864.91 / $1,178.59	Professional		$683.32	$864.91	$1,178.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $700.55 / $711.43	Facility		$80.00	$700.55	$711.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $871.93 / $871.93 / $871.93	Facility		$871.93	$871.93	$871.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.16 / $982.95 / $1,496.52	Professional		$731.16	$982.95	$1,496.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,186.11	Facility		$55.00	$55.00	$6,186.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,479.44 / $5,560.48 / $6,630.68	Professional		$5,479.44	$5,560.48	$6,630.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $720.58 / $904.00 / $1,415.75	Facility		$720.58	$904.00	$1,415.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $947.75 / $1,137.30 / $1,410.25	Professional		$947.75	$1,137.30	$1,410.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $971.80 / $975.90 / $1,268.80	Professional		$971.80	$975.90	$1,268.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $720.58 / $919.68 / $1,427.10	Facility		$720.58	$919.68	$1,427.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $744.05 / $1,020.70 / $1,525.83	Professional		$744.05	$1,020.70	$1,525.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,122.00 / $16,000.00	Facility		$2,600.00	$7,122.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.53 / $787.26 / $1,233.08	Professional		$576.53	$787.26	$1,233.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $647.10 / $733.86 / $1,020.60	Professional		$647.10	$733.86	$1,020.60