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 $653.69 / $746.05 / $1,230.52	Professional		$653.69	$746.05	$1,230.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.90 / $836.86 / $1,173.82	Professional		$675.90	$836.86	$1,173.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $668.94 / $680.72	Facility		$80.00	$668.94	$680.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $836.97 / $836.97 / $836.97	Facility		$836.97	$836.97	$836.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.05 / $974.52 / $1,454.49	Professional		$705.05	$974.52	$1,454.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,935.16	Facility		$55.00	$55.00	$5,935.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,440.00 / $5,584.21 / $6,364.80	Professional		$5,440.00	$5,584.21	$6,364.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $705.05 / $887.53 / $1,394.15	Facility		$705.05	$887.53	$1,394.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $909.75 / $1,091.70 / $1,353.71	Professional		$909.75	$1,091.70	$1,353.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $931.87 / $1,005.10 / $1,216.51	Professional		$931.87	$1,005.10	$1,216.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $710.53 / $887.53 / $1,406.60	Facility		$710.53	$887.53	$1,406.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $709.90 / $1,004.20 / $1,498.43	Professional		$709.90	$1,004.20	$1,498.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $572.48 / $783.88 / $1,206.01	Professional		$572.48	$783.88	$1,206.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $621.16 / $705.05 / $979.30	Professional		$621.16	$705.05	$979.30